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NPI Code Detail

MEDICARE: DR. JAY MICHAEL WATT M.D.

MEDICARE: DR. JAY MICHAEL WATT 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
1207X00000XOrthopaedic Surgery PhysicianMD00027295WA

General Provider Information

NPI Number : 1023078524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY MICHAEL WATT M.D.
Provider Business Mailing Address
First Line : 805 MADISON ST
Second Line : SUITE 901
City : SEATTLE
State : WA
Zip : 98104-1172
Country : US
Telephone Number : 206-264-8100
Fax Number : 206-264-8689
Provider Business Practice Location Address
First Line : 2409 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6907
Country : US
Telephone Number : 206-633-8100
Fax Number : 206-633-6107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 10/10/2011

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Directions to “ DR. JAY MICHAEL WATT M.D.” Practice Location

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