Individual
DR. TRAVIS EDWARD WATTS
Active
Individual
DR. TRAVIS EDWARD WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., CDE, BCPS
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11493
PHARMACY LISCENSE
OK
01
—
20510562
CDE
—
01
—
3024935
BCPS CREDENTIAL
—
Enumeration date
05/24/2005
Last updated
07/08/2007
Update your record
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