Healthcare Provider Details

I. General information

NPI: 1790763183
Provider Name (Legal Business Name): JULIUS FRANKLIN METTS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5342 DUDLEY BLVD
MCCLELLAN CA
95652-1012
US

IV. Provider business mailing address

1717 CORK PL
DAVIS CA
95616-1508
US

V. Phone/Fax

Practice location:
  • Phone: 916-561-7547
  • Fax: 916-561-7405
Mailing address:
  • Phone: 530-753-4328
  • Fax: 916-561-7547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG50725
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: