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1306068812
MOUNTAIN MEDICAL OF WATERTOWN
WATERTOWN, NY
NPI
1306068812
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Entity Type
Organization
Authorized Contact
MARK A KNOWLES
Pa
315-779-2273
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 001608-1)
Enumeration Date
2007-05-03
Last Update Date
2020-08-22
Business Address
MOUNTAIN MEDICAL OF WATERTOWN
457 GAFFNEY DR
WATERTOWN, NY 13601
Phone number: 315-779-2273
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Mailing Address
MOUNTAIN MEDICAL OF WATERTOWN
457 GAFFNEY DR
WATERTOWN, NY 13601
Phone number: 315-779-2273
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