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NPI Code Detail

MEDICARE: MR. ROBERT A WATSON II MD

MEDICARE:  MR. ROBERT A WATSON II MD
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
1207Q00000XFamily Medicine PhysicianE1050AR

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 : 1417060286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT A WATSON II MD
Provider Business Mailing Address
First Line : 3108 NORTH WEST AVENUE
Second Line :
City : EL DORADO
State : AR
Zip : 71730
Country : US
Telephone Number : 870-863-9020
Fax Number : 870-863-7209
Provider Business Practice Location Address
First Line : 3108 NORTH WEST AVENUE
Second Line :
City : EL DORADO
State : AR
Zip : 71730
Country : US
Telephone Number : 870-863-9020
Fax Number : 870-863-7209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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Directions to “ MR. ROBERT A WATSON II MD” Practice Location

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