Individual
DR. SCOTT WATAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804
(419) 228-3335
Mailing address
951 COMMERCE PKWY STE 101, LIMA, OH 45804-4040
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.094788
OH
207L00000X
Anesthesiology Physician
ME96579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001162857
ANTHEM BCBS
OH
05
—
3042282
—
OH
Enumeration date
03/30/2008
Last updated
06/11/2018
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