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Individual

DAVID K. METZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1532 E PRIMROSE ST, SPRINGFIELD, MO 65804-7928
(417) 881-4032
(417) 881-4096
Mailing address
1532 E PRIMROSE ST, SPRINGFIELD, MO 65804-7928
(417) 881-4032
(417) 881-4096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111654
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
154652
BLUE CROSS
MO
01
431935510 65804 A001
TRICARE
MO
Enumeration date
01/19/2007
Last updated
01/10/2008
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