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Individual

DR. MARSHALL TREDWAY WATSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
465 SAINT MICHAELS DR, SUITE 107, SANTA FE, NM 87505-7670
(505) 988-3233
Mailing address
465 SAINT MICHAELS DR, SUITE 107, SANTA FE, NM 87505-7670

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
39694
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39694
LICENSE
TN
Enumeration date
07/14/2005
Last updated
03/07/2023
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