Individual
RICHARD BRADFORD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER, BERLIN, VT 05602-9516
(802) 371-4257
Mailing address
PO BOX 297, WAITSFIELD, VT 05673-0297
(802) 496-6161
(802) 496-6170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0009490
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029486
BLUE CROSS
VT
05
—
0VN1606
—
VT
Enumeration date
07/19/2006
Last updated
07/08/2007
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