Organization
CHARLES G WATT D O P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G WATT DO (PROVIDER)
(702) 656-4150
Entity
Organization
Contact information
Practice address
7529 CORAL RIVER DR, LAS VEGAS, NV 89131-2619
(702) 656-4150
Mailing address
PO BOX 36830, LAS VEGAS, NV 89133-6830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1375
NV
Other
Enumeration date
05/11/2010
Last updated
07/19/2010
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