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Charles R Mettry, DO
Pediatric Adolescent Medicine Physician in Ada, Oklahoma
NPI 1871581470

Charles R Mettry is a Pediatric Adolescent Medicine Physician based in Ada, OK and is specialized in Adolescent Medicine. Charles R Mettry practices in Ada, OK and has the professional credentials of DO. The NPI Number for Charles R Mettry is 1871581470 and holds a License No. 2206 (Oklahoma).

The current practice location address for Charles R Mettry is 201 N Monte Vista St, Ada, OK and can be reached out via phone at 580-436-4200 and via fax at 580-436-6423.

Location: 201 N Monte Vista St, Ada, OK, 74820-7213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871581470
Provider Name
Charles R Mettry
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
201 N Monte Vista St, Ada, OK, 74820-7213
Phone Number
580-436-4200
Fax Number
580-436-6423
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38-2376906 01 OK FED ID
100111120A 05 OK
institution
Provider Business Practice Location Address Details
Address
201 N Monte Vista St
City
Ada
State
Oklahoma
Zip
74820-7200
Phone Number
580-436-4200
Fax Number
580-436-6423
person
Provider Business Mailing Address Details
Address
201 N Monte Vista St
City
Ada
State
Oklahoma
Zip
74820-7200
Phone Number
580-436-4200
Fax Number
580-436-6423
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
2206 (Oklahoma)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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