Individual
DR. GARY RAY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 COFFEE RD, SUITE B-5, MODESTO, CA 95355-2427
(209) 491-2000
(209) 491-2787
Mailing address
2020 COFFEE RD., STE. B-5, MODESTO, CA 95355
(209) 491-2000
(209) 491-2787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G46720
CA
Other
Enumeration date
06/15/2006
Last updated
05/15/2013
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