Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES R METTRY, D.O.
Active Sole ProprietorCHARLES R METTRY, D.O. is a Adolescent Medicine (Pediatrics) healthcare provider located in ADA, Oklahoma. NPI 1871581470 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · ADA, OK
Registration Details
- NPI Number
- 1871581470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2005 (20.873190913869 yrs)
- Last Updated
- Nov 13, 2025
- License
-
2206 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 N MONTE VISTA ST STE BADA, OK, 748207220Browse OK providers · Browse ZIP 74820
- Phone
- 5804364200
- Fax
- 5804366423
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.