NPI | 1225607385 |
---|---|
Doing Business As | DR. WATSON |
Entity Type | Organization |
Authorized Contact | JAMES BERNARD WATSON Owner 267-408-5288 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-02-16 |