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Individual

MICHAEL T WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1490 E FOREMASTER DR, STE 320, SAINT GEORGE, UT 84790-4488
(435) 628-3334
(435) 628-3375
Mailing address
1490 E FOREMASTER DR, STE 320, SAINT GEORGE, UT 84790-4488
(435) 628-3334
(435) 628-3375

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8598508-1206
UT
363AM0700X
Medical Physician Assistant
PA1369
NV

Other

Enumeration date
08/28/2012
Last updated
01/29/2016
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