MEDICARE: BRYCE METZ

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
1	237700000X	Hearing Instrument Specialist	422H	SD

General Provider Information

NPI Number	:	1871044032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYCE METZ

Provider Business Mailing Address
First Line	:	1109 W OMAHA ST
Second Line	:	SUITE C
City	:	RAPID CITY
State	:	SD
Zip	:	57701-2448
Country	:	US
Telephone Number	:	605-791-4327
Fax Number	:	605-791-4328

Provider Business Practice Location Address
First Line	:	1109 W OMAHA ST
Second Line	:	SUITE C
City	:	RAPID CITY
State	:	SD
Zip	:	57701-2448
Country	:	US
Telephone Number	:	605-791-4327
Fax Number	:	605-791-4328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2016
Last Update Date	:	10/21/2016

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Directions to “ BRYCE METZ ” Practice Location

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