Individual
MR. GEOFFREY T WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8000
Mailing address
216 CHATEAUGAY DR, PATASKALA, OH 43062-9549
(740) 501-3355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.026230
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.026230
OH
363LF0000X
Family Nurse Practitioner
F01200916
OH
Other
Enumeration date
12/13/2019
Last updated
12/06/2023
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