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NPI Code Detail

MEDICARE: JESSICA METZGAR

MEDICARE: JESSICA METZGAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianSP034671PA

General Provider Information

NPI Number : 1265394811
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA METZGAR
Provider Business Mailing Address
First Line : 2117 16TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-2340
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1224 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-2402
Country : US
Telephone Number : 814-944-8784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ JESSICA METZGAR ” Practice Location

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