MEDICARE: DR. MARYSIA WATSON DO

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	12377655-1204	UT

General Provider Information

NPI Number	:	1811488695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARYSIA WATSON DO

Provider Business Mailing Address
First Line	:	4624 S HOLLADAY BLVD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-7054
Country	:	US
Telephone Number	:	801-277-2682
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 S HOLLADAY BLVD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-7054
Country	:	US
Telephone Number	:	801-277-2682
Fax Number	:

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

Provider Enumeration Date	:	05/28/2018
Last Update Date	:	11/30/2021

Similar Medicare Providers

1184807208 — DR. AARON EUGENE FRODSHAM M.D.
Practice Location Address:

4624 S HOLLADAY BLVD , SUITE 202
SALT LAKE CITY, UT
84117-7054

Practice Phone: 801-810-2999
Practice Fax: 801-407-0747

1629454772 — MEDS IN MOTION
Practice Location Address:

4624 S HOLLADAY BLVD , SUITE 101
SALT LAKE CITY, UT
84117-7054

Practice Phone: 801-316-0790
Practice Fax:

1194101931 — MEDS IN MOTION
Practice Location Address:

4624 S HOLLADAY BLVD STE 3
SALT LAKE CITY, UT
84117-7054

Practice Phone: 801-506-6999
Practice Fax:

1053764431 — OLYMPUS FAMILY MEDICINE
Practice Location Address:

4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT
84117-7054

Practice Phone: 801-277-2682
Practice Fax:

1063951986 — ZACHARY BASS CPHT
Practice Location Address:

4624 S HOLLADAY BLVD , STE101
SALT LAKE CITY, UT
84117-7054

Practice Phone: 801-316-0790
Practice Fax: 801-316-0791

1255724910 — AMBER ANN LLOYD BC-HIS, ACA
Practice Location Address:

1817 S MAIN ST STE 7
SALT LAKE CITY, UT
84115-7054

Practice Phone: 801-485-5595
Practice Fax: 801-467-1125

Directions to “ DR. MARYSIA WATSON DO” 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.