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Individual
MICHAEL PATRICK WATSON
Active
Individual
MICHAEL PATRICK WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3677
STATE LICENSE
AZ
01
—
PA-562
STATE LICENSE
AL
Enumeration date
08/31/2007
Last updated
06/21/2013
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