Individual
DR. CHARLES KENNETH METZGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
412 W CARROLL AVE, STE 200, GLENDORA, CA 91741-4240
(626) 335-0228
(626) 914-9611
Mailing address
412 W CARROLL AVE, STE 200, GLENDORA, CA 91741-4240
(626) 335-0228
(626) 914-9611
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G25299
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ72637Z
—
CA
Enumeration date
11/03/2005
Last updated
07/08/2007
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