Individual
DR. HILARY STEPHEN WATSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1665 DOVE PARK RD, SUITE 700, MANDEVILLE, LA 70471-1919
(985) 345-5500
Mailing address
PO BOX 2932, HAMMOND, LA 70404-2932
(985) 345-5500
(985) 345-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10774R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991601
—
LA
Enumeration date
12/01/2006
Last updated
05/13/2014
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