Individual
DR. MYRA JUNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 499-0642
(573) 449-1787
Mailing address
1205 W BROADWAY, COLUMBIA, MO 65203-2125
(573) 499-0642
(573) 449-1787
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
108840
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000623655
HUMANA
MO
01
—
143430
BLUE CROSS BLUE SHIELD
MO
01
—
17496
HEALTHCARE USA
MO
01
—
1911260
FIRST HEALTH
MO
05
—
245327309
—
MO
01
—
3100096
UNITED HEALTHCARE
MO
01
—
390007475
RAILROAD MEDICARE
MO
01
—
458323
HEALTHLINK
MO
01
—
7329520
AETNA
MO
01
—
G99626
MERCY
MO
Enumeration date
06/23/2005
Last updated
04/09/2014
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