Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 23597 | AZ |
NPI | 1205941382 |
---|---|
Provider Name | Stephen J Metz |
First Address | Tucson, AZ 85733-3160 |
Second Address | Tucson, AZ 85712-2158 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
401430 | (05) | AZ |
E59174 | (02) | AZ |