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Individual
MR. WILLIAM CLAYTON WATSON
Active
Individual
MR. WILLIAM CLAYTON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
49112992401
UT
225100000X
Physical Therapist
4911299-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-0926842
MEDICARE TAX #
UT
Enumeration date
11/10/2010
Last updated
07/05/2021
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