Individual
TROY B WATKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8854 W EMERALD ST, # 170, BOISE, ID 83704-4844
(208) 343-2555
(208) 343-2558
Mailing address
8854 W EMERALD ST, # 170, BOISE, ID 83704-4844
(208) 343-2555
(208) 343-2558
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M4432
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000338800
—
ID
Enumeration date
06/07/2006
Last updated
01/17/2012
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