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NPI Code Detail

MEDICARE: DR. CLARK STEPHEN METZGER SR. M.D.

MEDICARE: DR. CLARK STEPHEN METZGER SR. M.D.
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
1207X00000XOrthopaedic Surgery PhysicianME57726FL
2174400000XSpecialist13599AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972583193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLARK STEPHEN METZGER SR. M.D.
Provider Business Mailing Address
First Line : PO BOX 2243
Second Line :
City : PENSACOLA
State : FL
Zip : 32513-2243
Country : US
Telephone Number : 850-512-3482
Fax Number : 850-969-2130
Provider Business Practice Location Address
First Line : 1555 N PALAFOX ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2134
Country : US
Telephone Number : 850-512-3482
Fax Number : 850-969-2130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 01/07/2026

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