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NPI Code Detail

MEDICARE: PAUL AARON METCALF D.O.

MEDICARE: PAUL AARON METCALF D.O.
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
1207Q00000XFamily Medicine Physician2006009460MO

General Provider Information

NPI Number : 1336287333
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL AARON METCALF D.O.
Provider Business Mailing Address
First Line : 6420 THE CEDARS COURT
Second Line : PO BOX 140
City : CEDAR HILL
State : MO
Zip : 63016
Country : US
Telephone Number : 636-274-2700
Fax Number : 636-274-4660
Provider Business Practice Location Address
First Line : 6420 THE CEDARS CT
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2222
Country : US
Telephone Number : 636-274-2700
Fax Number : 636-274-4660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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