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Individual

PAUL RANDALL WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 853-0931

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09477
NC
363A00000X
Physician Assistant
0110003595
VA
363A00000X
Physician Assistant

Other

Enumeration date
06/27/2011
Last updated
07/15/2021
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