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NPI Code Detail

MEDICARE: DR. RICHARD ALAN WATSON M.D.

MEDICARE: DR. RICHARD ALAN WATSON 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
1207W00000XOphthalmology PhysicianR7N30MO

Other Identifiers

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

General Provider Information

NPI Number : 1639171846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ALAN WATSON M.D.
Provider Business Mailing Address
First Line : 5202 FARAON ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-3809
Country : US
Telephone Number : 816-233-2020
Fax Number : 816-279-4662
Provider Business Practice Location Address
First Line : 5202 FARAON ST
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-3809
Country : US
Telephone Number : 816-233-2020
Fax Number : 816-279-4662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/19/2012

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