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Individual

MR. HARLAN BURNETT WATKINS JR.

Active
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Individual

MR. HARLAN BURNETT WATKINS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A-21261
CA
207R00000X
Internal Medicine Physician
A21261
CA
207RC0000X
Cardiovascular Disease Physician
A-21261
CA
207RC0000X
Cardiovascular Disease Physician
A21261
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A212610
CA
01
060012213
MEDICARE RR
01
CY0128
MEDICARE RR
Enumeration date
11/01/2006
Last updated
11/22/2013
About Stedi
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