Individual
JOHN M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5575 KIETZKE LN, RENO, NV 89511-2290
(775) 851-1505
(775) 851-1583
Mailing address
2345 E PRATER WAY STE 207, SPARKS, NV 89434-9634
(775) 851-1505
(775) 851-1583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11947
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11614959
CAQH
—
05
—
1366460347
—
NV
Enumeration date
07/17/2006
Last updated
10/20/2020
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