Individual
JOHN WATSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
510 S ELLIOTT ST, PRYOR, OK 74361-6421
(918) 825-3777
(918) 825-3776
Mailing address
510 S ELLIOTT ST, PRYOR, OK 74361-6421
(918) 825-3777
(918) 825-3776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99514
OK
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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