Individual
CHARLES R. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
400 S 4TH ST, APT. 901, SAINT LOUIS, MO 63102-1815
(337) 591-5813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2004029832
MO
207L00000X
Anesthesiology Physician
Primary
26265
TN
207L00000X
Anesthesiology Physician
C41879
CO
Other
Enumeration date
02/08/2006
Last updated
10/27/2014
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