Individual
DAVID D WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 615-1153
(740) 615-1150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35060740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317009
BC/BS PROVIDER #GRADY
OH
05
—
0823685
—
OH
01
—
P00072905
RRMEDICARE # AT GRADY
OH
Enumeration date
04/17/2006
Last updated
07/18/2013
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