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NPI Code Detail

MEDICARE: DR. PHILIP DEAN WATSON DO

MEDICARE: DR. PHILIP DEAN WATSON DO
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
1207RC0000XCardiovascular Disease Physician02000753AIN
2207RP1001XPulmonary Disease Physician02000753AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000701306OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558368308
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP DEAN WATSON DO
Provider Business Mailing Address
First Line : 520 S 7TH ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1038
Country : US
Telephone Number : 812-885-3243
Fax Number : 812-885-3915
Provider Business Practice Location Address
First Line : 520 S 7TH ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1038
Country : US
Telephone Number : 812-885-3243
Fax Number : 812-885-3915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/03/2019

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Directions to “ DR. PHILIP DEAN WATSON DO” Practice Location

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