Individual
DR. KIRK D WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 MEDICAL PARK DR, SUITE100, BENTON, AR 72015-3728
(501) 778-0934
Mailing address
3 MEDICAL PARK DR, SUITE100, BENTON, AR 72015-3728
(501) 778-0934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6481
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110804001
—
AR
Enumeration date
03/01/2007
Last updated
04/08/2008
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