Individual
DAVID P WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
306 E MAUMEE ST STE 201, ANGOLA, IN 46703-2035
(260) 667-2700
(260) 667-2611
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01038603
IN
207Q00000X
Family Medicine Physician
Primary
01038603
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088993
ANTHEM ID FOR FAMILY PRAC
IN
01
—
000000226063
ANTHEM ID FOR ANESTHESIA
IN
01
—
000000697398
ANTHEM
IN
05
—
100329410
—
IN
Enumeration date
10/25/2005
Last updated
11/15/2022
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