| Charles R Mettry, DO | |
|
201 N Monte Vista St, Suite B, Ada, OK 74820-7200 | |
| (580) 436-4200 | |
| (580) 436-6423 |
| Full Name | Charles R Mettry |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 201 N Monte Vista St, Ada, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871581470 | NPI | - | NPPES |
| 38-2376906 | Other | OK | FED ID |
| 100111120A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 2206 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Mettry, DO 201 N Monte Vista St, Suite B, Ada, OK 74820-7213 Ph: (580) 436-4200 | Charles R Mettry, DO 201 N Monte Vista St, Suite B, Ada, OK 74820-7200 Ph: (580) 436-4200 |
Stefan Iorga, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Arlington St Ste 2, Ada, OK 74820 Phone: 580-436-1506 Fax: 580-436-1519 | |
Benjamin Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Abiodun Fatima Balogun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Ronald D Bullard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Jennie Mathew, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Dr. Stephanie Johniece Schofield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Rachel Renee Birchfield, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-421-4550 |