Individual
MR. EARL R METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1429 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-2171
(573) 335-9175
(573) 334-3390
Mailing address
10499 COUNTY ROAD 605, DEXTER, MO 63841-8501
(573) 624-8160
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
064034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104407
HEALTH ALLIANCE
MO
01
—
112188
BCBS
MO
01
—
248460
HEALTHLINK
MO
01
—
P00181240
RAILROAD MEDICARE
MO
Enumeration date
08/28/2006
Last updated
10/03/2007
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