Individual
BRUCE JAMES WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(844) 919-4263
(833) 513-0980
Mailing address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(844) 919-4263
(833) 513-0980
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48738-020
WI
208600000X
Surgery Physician
80664388017
UT
2086S0105X
Surgery of the Hand (Surgery) Physician
8873
SD
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
M-13763
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326240425
—
IA
05
—
1326240425
—
ID
05
—
1326240425
—
NE
05
—
1326240425
—
SD
Enumeration date
06/01/2007
Last updated
03/10/2025
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