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Individual

DR. NEIL LAWRENCE WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039743A
IN
207W00000X
Ophthalmology Physician
036086767
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000219285
ANTHEM - BCBS
IN
05
036086767
IL
05
100147800A
IN
01
180041574
RAILROAD MEDICARE
IN
Enumeration date
08/05/2006
Last updated
09/12/2007
Update your record

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