Individual
BEAU WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 HOLMES ST, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM, M1-210, KANSAS CITY, MO 64108-2741
(816) 235-6626
(816) 235-6629
Mailing address
691 WATTS RD, ROGERSVILLE, MO 65742-7711
(402) 212-5435
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010009957
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/20/2007
Last updated
01/02/2024
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