Provider Demographics
NPI:1558609511
Name:METZ, ALBERT VICTOR JR
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:VICTOR
Last Name:METZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 S POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-6215
Mailing Address - Country:US
Mailing Address - Phone:307-265-1468
Mailing Address - Fax:307-265-5806
Practice Address - Street 1:6800 S POPLAR ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-6215
Practice Address - Country:US
Practice Address - Phone:307-265-1468
Practice Address - Fax:307-265-5806
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-26
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2555A207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty