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Individual
DR. BRIAN WESLEY WATSON
Active
Individual
DR. BRIAN WESLEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101241191
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
079408
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144352428
—
VA
05
—
3810011003
—
WV
01
—
P00417627
RAILROAD MEDICARE
—
Enumeration date
03/12/2007
Last updated
11/02/2019
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