Individual
CHARLES WILLIAM WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FOOTHILL DR, 111-BH, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1352 FILMORE ST, SALT LAKE CITY, UT 84105-2706
(801) 859-6895
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7771544-1205
UT
Other
Enumeration date
04/16/2009
Last updated
08/05/2016
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