Individual
DR. JAN D WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2030 W BASELINE RD, SUITE 182-235, PHOENIX, AZ 85041-6574
(602) 957-2407
Mailing address
2030 W BASELINE RD STE 182-235, PHOENIX, AZ 85041-6579
(602) 899-3923
(602) 833-2549
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
24951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-1881
MEDICARE
—
05
—
279689
—
AZ
01
—
Z148521
MEDICARE
—
01
—
ZFQ31815
MEDICARE
—
Enumeration date
04/17/2006
Last updated
06/19/2019
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