Individual
DR. MAUREEN L WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-2961
(317) 528-3789
Mailing address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-2961
(317) 528-3789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01039468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002050
—
IN
Enumeration date
01/10/2006
Last updated
03/15/2021
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