MEDICARE: JASON WATKINS

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	171W00000X	Contractor

Other Identifiers

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

General Provider Information

NPI Number	:	1124178033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON WATKINS

Provider Business Mailing Address
First Line	:	7820 E BROADWAY BLVD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3939
Country	:	US
Telephone Number	:	520-721-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	2745 W ANKLAM RD APT A
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-3702
Country	:	US
Telephone Number	:	520-721-1887
Fax Number	:

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1689760621 — JOHN MURAD DMD
Practice Location Address:

1840 N CRAYCROFT RD
TUCSON, AZ
85712-3702

Practice Phone: 520-886-2822
Practice Fax: 520-886-2229

1659402105 — DR. SONIA S HARIRI DDS
Practice Location Address:

1840 N CRAYCROFT RD
TUCSON, AZ
85712-3702

Practice Phone: 520-886-2822
Practice Fax: 520-886-2229

1427343094 — DR. TRUMAN GIN LEONG PHARMD
Practice Location Address:

5255 E BROADWAY BLVD , T-0179
TUCSON, AZ
85711-3702

Practice Phone: 520-917-0130
Practice Fax: 520-917-0130

1144515081 — ELIZABETH PREBLE RPH
Practice Location Address:

5255 E BROADWAY BLVD
TUCSON, AZ
85711-3702

Practice Phone: 520-917-0130
Practice Fax: 520-917-0130

1952815201 — DR. THERESA KODUA BS, PHARMD
Practice Location Address:

5255 E BROADWAY BLVD
TUCSON, AZ
85711-3702

Practice Phone: 520-917-0130
Practice Fax:

1700439544 — CRAYCROFT PRIME DENTAL, P.C.
Practice Location Address:

1840 N CRAYCROFT RD
TUCSON, AZ
85712-3702

Practice Phone: 520-886-2822
Practice Fax:

Directions to “ JASON WATKINS ” 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.