MEDICARE: DR. ROBERT W WATSON II 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
1	208600000X	Surgery Physician	9076	NV
2	208D00000X	General Practice Physician	9076	NV

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	:	1295761005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT W WATSON II M.D.

Provider Business Mailing Address
First Line	:	6880 S MCCARRAN BLVD STE 12
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-771-2217
Fax Number	:	877-775-5220

Provider Business Practice Location Address
First Line	:	6880 S MCCARRAN BLVD STE 12
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-335-2044
Fax Number	:	877-775-5220

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	11/03/2022

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