Individual
JOSHUA A. WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9147
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A105101
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A105101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538338
—
CA
Enumeration date
05/05/2006
Last updated
06/13/2012
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