Individual
JOE DAN METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12400 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120-8601
(405) 751-0042
(405) 751-0205
Mailing address
12400 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120-8601
(405) 751-0042
(405) 751-0205
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8629
OK
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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