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Individual
STEVE ALAN WATTS
Active
Individual
STEVE ALAN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
16858
MS
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G5751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122522
—
MS
01
—
200040391
RRMCARE
MS
01
—
P00651236
R. R. MEDICARE
MS
Enumeration date
07/01/2005
Last updated
03/07/2023
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