Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 122355 | NC |
Y | 207KA0200X | Allergist | 27997 | OK |
NPI | 1174797062 |
---|---|
Provider Name | Dr. Gregory Martin Metz |
First Address | Oklahoma City, OK 73104-5051 |
Second Address | Oklahoma City, OK 73104-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 12/10/2016 |