Individual
BENJAMIN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Contact information
Practice address
5728 S 1475 E, SUITE 102, OGDEN, UT 84403-4833
(801) 710-7347
(801) 479-4577
Mailing address
5728 S 1475 E, SUITE 102, OGDEN, UT 84403-4833
(801) 710-7347
(801) 479-4577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270031488001
—
UT
Enumeration date
08/19/2006
Last updated
11/01/2007
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