Provider Demographics
NPI:1336259472
Name:METZER, WALTER STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:STEVEN
Last Name:METZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:NEUROLOGY (500)
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-5135
Mailing Address - Fax:501-686-8689
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:NEUROLOGY (500)
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-5135
Practice Address - Fax:501-686-8689
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-50792084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104 602 001Medicaid
ARAM7137715OtherDEA
ARE16753Medicare UPIN
AR53631Medicare ID - Type Unspecified
AR5AF616884Medicare PIN