Individual
DR. PHILIP DEAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3243
(812) 885-3915
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02000753A
IN
207RP1001X
Pulmonary Disease Physician
Primary
02000753A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000701306
ANTHEM
IN
05
—
100341610
—
IN
Enumeration date
07/07/2005
Last updated
04/03/2019
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