Individual
PHILLIP LAIRD WATTERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4065 MARINER BLVD, SPRING HILL, FL 34609
(352) 683-1885
(352) 683-2217
Mailing address
4065 MARINER BLVD, SPRING HILL, FL 34609
(352) 683-1885
(352) 683-2217
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME82156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287149
AVMED
—
01
—
4210772
AETNA
—
Enumeration date
05/31/2006
Last updated
07/08/2007
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