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Individual
DR. ALEX BENTON WATSON
Active
Individual
DR. ALEX BENTON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2003025568
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
M-11086
ID
207V00000X
Obstetrics & Gynecology Physician
MD60171764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0267798
LABOR & INDUSTRIES
WA
01
—
1780659920
REGENCE BLUE SHIELD
ID
05
—
1780659920
—
ID
05
—
2009820
—
WA
01
—
78464
BC/ID
ID
01
—
P00884051
RR MEDICARE
IL
Enumeration date
02/21/2006
Last updated
03/07/2016
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