Organization
M. PAUL WATSON, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WATSON M. D. (OWNER)
(318) 388-1662
Entity
Organization
Contact information
Practice address
3510 MEDICAL PARK DR, SUITE 1, MONROE, LA 71203-2384
(318) 388-1662
Mailing address
3510 MEDICAL PARK DR, SUITE 1, MONROE, LA 71203-2384
(318) 388-1662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012676
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025178
—
LA
Enumeration date
02/18/2008
Last updated
05/07/2013
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