Individual
DR. JOHN MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY, SUITE 1002, RENO, NV 89502-1464
(775) 323-7500
(775) 789-9208
Mailing address
75 PRINGLE WAY, SUITE 1002, RENO, NV 89502-1464
(775) 323-7500
(775) 789-9208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8648
NV
2086S0102X
Surgical Critical Care Physician
8648
NV
2086S0127X
Trauma Surgery Physician
8648
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020050120
RAILROAD MEDICARE
NV
05
—
002016418
—
NV
05
—
1619039245
—
NV
01
—
880341656
GOMEZ, KOZAR, MCELREATH, AND SMITH PROFESSIONAL CORPORATION
NV
01
—
BS249Y
MEDICARE PTAN
NV
Enumeration date
12/13/2006
Last updated
01/14/2016
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