Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1609 | NE |
Y | 111N00000X | Chiropractor | 32223 | CA |
NPI | 1003147141 |
---|---|
Provider Name | Dr. Bradley Metzler |
First Address | San Francisco, CA 94117-3555 |
Second Address | San Francisco, CA 94117-3555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2010 |
Last Update Date | 10/10/2013 |