Individual
DR. PHILIP DEAN WATSON
Active
Individual
DR. PHILIP DEAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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