Individual
ROBERT WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 W 5TH ST STE 600, TULSA, OK 74103-4260
(918) 588-8451
Mailing address
111 W 5TH ST STE 600, TULSA, OK 74103-4260
(918) 588-8451
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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