Provider Demographics
NPI:1205941382
Name:METZ, STEPHEN J (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:METZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-327-1787
Mailing Address - Fax:520-321-9613
Practice Address - Street 1:5155 E FARNESS DR STE 111A
Practice Address - Street 2:SUITE 200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2158
Practice Address - Country:US
Practice Address - Phone:520-327-1787
Practice Address - Fax:520-321-9613
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2013-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ235972080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ401430Medicaid
AZZ106538Medicare PIN
AZ401430Medicaid