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Individual
ERIC J WATTENBURG
Active
Individual
ERIC J WATTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD29323
OR
207Q00000X
Family Medicine Physician
6761572
ID
207Q00000X
Family Medicine Physician
A78764
CA
207Q00000X
Family Medicine Physician
Primary
MD29323
OR
Other
Enumeration date
02/24/2006
Last updated
11/12/2024
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