Individual
BRENT THOMAS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2132 N 1700 W STE 230, LAYTON, UT 84041-7060
(801) 773-3900
(801) 773-3900
Mailing address
640 WESTBROOK CIR, KAYSVILLE, UT 84037-1586
(801) 589-3177
(801) 475-9499
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
187506-1205
UT
Other
Enumeration date
09/27/2006
Last updated
03/17/2018
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