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Individual
TRAVIS DANIEL WATSON
Active
Individual
TRAVIS DANIEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101245487
VA
207P00000X
Emergency Medicine Physician
Primary
MD437910
PA
207P00000X
Emergency Medicine Physician
MD45044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102436642
—
PA
05
—
1519614
—
TN
01
—
2157736
HIGHMARK
PA
01
—
50101792
BLUE CROSS
PA
Enumeration date
05/29/2007
Last updated
02/17/2020
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