Individual
SARA M WATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 DEBARTOLO PL STE B, YOUNGSTOWN, OH 44512-7004
(234) 219-1557
(330) 758-3282
Mailing address
250 DEBARTOLO PL STE B, YOUNGSTOWN, OH 44512-7004
(234) 219-1557
(330) 758-3282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008860RX
OH
363A00000X
Physician Assistant
MA061540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438565
—
OH
Enumeration date
06/08/2020
Last updated
04/09/2026
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