Individual
DR. MARIEL OLIVIA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L10, CREVE COEUR, MO 63141-6431
(314) 996-3880
(314) 996-8610
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-3880
(314) 996-8610
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2025029374
MO
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
2025029374
MO
Other
Enumeration date
05/20/2020
Last updated
08/22/2025
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