Individual
MR. EDWARD R WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2530 S TELSHOR BLVD STE 207, LAS CRUCES, NM 88011-4975
(575) 544-7280
Mailing address
2530 S. TELSHOR BLVD. SUITE 207, LAS CRUCES, NM 88011
(575) 642-9096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2015-0057
NM
Other
Enumeration date
08/17/2015
Last updated
02/12/2016
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