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Individual

GRETA J. WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
4050 W MEMORIAL RD, THIRD FLOOR, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3838
Mailing address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3838

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
421
OK
363AM0700X
Medical Physician Assistant
Primary
421
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100102180A
OK
Enumeration date
10/05/2005
Last updated
02/24/2017
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