Individual
JESSICA LEA WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
(520) 364-4261
Mailing address
PO BOX 8336, TUCSON, AZ 85738-0336
(520) 975-3676
(520) 372-0017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61025
AZ
207Q00000X
Family Medicine Physician
A108160
CA
Other
Enumeration date
12/10/2007
Last updated
08/28/2023
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