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NPI Code Detail

MEDICARE: DR. BRANDON J WATSON M.D.

MEDICARE:  DR. BRANDON J WATSON  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
1207P00000XEmergency Medicine Physician11083NV
2207P00000XEmergency Medicine Physician36111486IL
3207P00000XEmergency Medicine Physician58127AZ

Other Identifiers

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

General Provider Information

NPI Number : 1386647469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON J WATSON M.D.
Provider Business Mailing Address
First Line : PO BOX 1569
Second Line :
City : LAS VEGAS
State : NV
Zip : 89125-1569
Country : US
Telephone Number : 702-671-6845
Fax Number : 702-671-6883
Provider Business Practice Location Address
First Line : 3100 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0436
Country : US
Telephone Number : 702-671-6845
Fax Number : 702-671-6883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/26/2023

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Directions to “ DR. BRANDON J WATSON M.D.” Practice Location

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