Individual
DR. CHARLES G WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6970 W. PATRICK LANE, SUITE #140, LAS VEGAS, NV 89113-0270
(702) 450-1717
(702) 947-6740
Mailing address
7529 CORAL RIVER DR, LAS VEGAS, NV 89131-2619
(702) 450-1717
(702) 947-6740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A9356
CA
207Q00000X
Family Medicine Physician
DO 1375
NV
207R00000X
Internal Medicine Physician
1375
NV
207R00000X
Internal Medicine Physician
Primary
20A9356
CA
207R00000X
Internal Medicine Physician
DO 1375
NV
Other
Enumeration date
04/25/2006
Last updated
08/02/2010
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