Individual
DR. WILLIAM J. WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 PEACH ST, SUITE 301, SAN LUIS OBISPO, CA 93401-2700
(805) 545-5665
(805) 544-6477
Mailing address
1035 PEACH ST, SUITE 301, SAN LUIS OBISPO, CA 93401-2700
(805) 545-5665
(805) 544-6477
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G42368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4036521
AETNA PIN
CA
05
—
GR0046750C
—
CA
01
—
ZZZ25994Z
BLUE SHIELD PIN
CA
Enumeration date
10/18/2005
Last updated
11/28/2007
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