Individual
DR. MARK DAVID WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, PHD
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
20773
CO
1835P1300X
Psychiatric Pharmacist
Primary
37324
CA
1835P1300X
Psychiatric Pharmacist
7242
OR
Other
Enumeration date
06/14/2007
Last updated
05/15/2018
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