Individual
DR. RANDY CHARLES WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 ELKS POINT ROAD, SUITE 200, ZEPHYR COVE, NV 89448
(775) 588-3636
(775) 588-1299
Mailing address
PO BOX 11889, ZEPHYR COVE, NV 89448-3889
(775) 588-3636
(775) 588-1299
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
3188
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003284
—
NV
Enumeration date
07/19/2005
Last updated
07/08/2007
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