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Individual

DR. GARRETT EDWARD WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10507 E 91ST ST, STE 350, TULSA, OK 74133-5598
(918) 451-3000
(918) 451-2700
Mailing address
10507 EAST 91ST STREET, SUITE 350, TULSA, OK 74133-5598
(918) 451-3000
(918) 451-2700

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
17528
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100135870A
OK
01
731402121001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
06/12/2006
Last updated
06/09/2017
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