Individual
JOANNA HWANG WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 S MCINTIRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
(812) 332-7337
(812) 339-2934
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01071343A
IN
207Y00000X
Otolaryngology Physician
47798
WI
207Y00000X
Otolaryngology Physician
A105519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000775353
ANTHEM PTAN
IN
01
—
1124079496
ANTHEM PTAN
IN
05
—
201074450
—
IN
Enumeration date
05/12/2006
Last updated
11/27/2024
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