MEDICARE: CURTIS WATSON

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	174400000X	Specialist

General Provider Information

NPI Number	:	1740525815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS WATSON

Provider Business Mailing Address
First Line	:	3339 KIDD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7737
Country	:	US
Telephone Number	:	702-787-2977
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 KIDD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-7737
Country	:	US
Telephone Number	:	702-787-2977
Fax Number	:

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

Provider Enumeration Date	:	11/30/2012
Last Update Date	:	11/30/2012

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Directions to “ CURTIS WATSON ” Practice Location

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