Individual
COLIN MAHLON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5040 FOREST DR STE 300, NEW ALBANY, OH 43054-8166
(614) 890-6555
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 839-2115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006318RX
OH
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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