MEDICARE: DR. WILFRED E WATKINS M.D., F.A.C.S.

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
1	174400000X	Specialist	M2768	ID

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1370335	OTHER	ID	MEDICARE CLINIC NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1710981162	OTHER	ID	INDIVIDUAL NPI
3	1598811945	OTHER	ID	NPI CORPORATION NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710981162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILFRED E WATKINS M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	1613 12TH AVE RD STE B
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-6183
Country	:	US
Telephone Number	:	208-466-2461
Fax Number	:	208-466-2488

Provider Business Practice Location Address
First Line	:	1613 12TH AVE RD
Second Line	:	STE B
City	:	NAMPA
State	:	ID
Zip	:	83686-6183
Country	:	US
Telephone Number	:	208-466-2461
Fax Number	:	208-466-2488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/12/2010

Similar Medicare Providers

1811054976 — DR. YANCY THEODORE SIPES D.D.S.
Practice Location Address:

1613 12TH AVE RD STE A
NAMPA, ID
83686-6183

Practice Phone: 208-467-0079
Practice Fax:

1598811945 — IDAHO UROLOGY CLINIC, P.A.
Practice Location Address:

1613 12TH AVE RD STE B
NAMPA, ID
83686-6183

Practice Phone: 208-466-2461
Practice Fax: 208-466-2488

1801753652 — JENNIFER DEAN BOSTON LPC
Practice Location Address:

228 12TH AVE RD
NAMPA, ID
83686-5013

Practice Phone: 509-771-1191
Practice Fax:

1548127293 — ALICIA CARRIZALES
Practice Location Address:

220 W GEORGIA AVE
NAMPA, ID
83686-2835

Practice Phone: 208-960-7474
Practice Fax:

1801635974 — CONNER LANIER PA
Practice Location Address:

1115 12TH AVE RD
NAMPA, ID
83686-5738

Practice Phone: 208-498-1080
Practice Fax: 208-498-1081

1093718702 — DR. SHANNON DEE GAERTNER-EWING DC
Practice Location Address:

217 W GEORGIA AVE STE 120
NAMPA, ID
83686-6812

Practice Phone: 208-467-5994
Practice Fax: 208-467-5127

Directions to “ DR. WILFRED E WATKINS M.D., F.A.C.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.