Individual
MS. ALTA LOUISE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
513 WASHINGTON ST, SUITE 1, WATERTOWN, NY 13601-4001
(315) 788-2211
(315) 788-0956
Mailing address
513 WASHINGTON ST, WATERTOWN, NY 13601-4001
(315) 788-2211
(315) 788-0956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006163
NY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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