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Individual

DR. ADDISON RYAN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, RN, EMT-P

Contact information

Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-5897
(573) 882-4141
Mailing address
2400 BENTLEY CT, COLUMBIA, MO 65202-4312
(573) 999-4483

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
P16132
MO
163W00000X
Registered Nurse
Primary
2012013122
MO

Other

Enumeration date
01/27/2023
Last updated
02/02/2023
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