Individual
DR. CAROL D WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 S 7TH AVENUE, PHOENIX, AZ 85007
(602) 258-5111
Mailing address
3104 E CAMELBACK RD, STE 384, PHOENIX, AZ 85016
(623) 748-3302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3723
AZ
207P00000X
Emergency Medicine Physician
Primary
L7921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191012703
—
TX
05
—
33373558
—
NM
01
—
3981220
EVERCARE GROUP
AZ
01
—
453051001
GROUP HEALTH GROUP
AZ
05
—
765886
—
AZ
01
—
860373636
HUMANA GROUP
AZ
01
—
AW1436
HEALTHNET GROUP
AZ
01
—
AZ0728670
BCBS GROUP
AZ
Enumeration date
03/02/2006
Last updated
09/08/2011
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