Individual
MR. MICHAEL WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-7799
Mailing address
77 NEALY AVE, 633D MEDICAL GROUP, JOINT BASE LANGLEY-EUSTIS, VA 23665-2040
(757) 764-7799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004607
VA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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