Organization
WILSON T WATANABE PLLC
Active
Organization
WILSON T WATANABE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON T WATANABE MD (PRESIDENT)
(702) 228-9963
Entity
Organization
Contact information
Practice address
10624 S EASTERN AVE STE A-404, HENDERSON, NV 89052-2982
(702) 228-9963
(702) 685-4246
Mailing address
10624 S EASTERN AVE STE A-404, HENDERSON, NV 89052-2982
(702) 228-9963
(702) 685-4246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/10/2009
Last updated
08/24/2009
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