Organization
JOSEPH WATSON,D.O.,A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WATSON D.O. (PRESIDENT)
(858) 792-2635
Entity
Organization
Contact information
Practice address
1228 CAMINO DEL MAR, DEL MAR, CA 92014-2506
(858) 792-2635
Mailing address
1228 CAMINO DEL MAR, DEL MAR, CA 92014-2506
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A6025
CA
207Q00000X
Family Medicine Physician
20A6025
CA
208000000X
Pediatrics Physician
20A6025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX60250
—
CA
Enumeration date
08/02/2008
Last updated
08/27/2008
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