Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 019581 | LA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 019581 | LA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 019581 | LA |
NPI | 1477502474 |
---|---|
Provider Name | Dr. Stephen Eric Metzinger |
First Address | Metairie, LA 70002-1623 |
Second Address | Metairie, LA 70002-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 24/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C70879 | (02) | LA |