Individual
AUSTIN G WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5613
(505) 846-2396
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-2212
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
10/20/2021
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