Individual
MR. STEVE D WATTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
505 S PARK ST, PARK STREET MEDICAL CLINIC, GENOA, NE 68640-3036
(402) 993-2206
(402) 993-2595
Mailing address
PO BOX 310, 505 SO PARK ST PARK STREET MEDICAL CLINIC, GENOA, NE 68640-0310
(402) 993-2206
(402) 993-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
519
NE
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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