Individual
MR. STEVEN J WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
108 SMART PLACE, SUITE A, SLIDELL, LA 70458
(985) 649-0002
(985) 649-0034
Mailing address
108 SMART PLACE, SUITE A, SLIDELL, LA 70458
(985) 649-0002
(985) 649-0034
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD021R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00015683
MEDICAID
MS
05
—
1318418
—
LA
01
—
CN3638
RAILROAD MEDICARE
LA
01
—
CN3639
RAILROAD MEDICARE
MS
01
—
CN3640
RAILROAD MEDICARE
LA
Enumeration date
05/23/2006
Last updated
04/01/2008
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