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Individual

SUSAN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1024 CENTRAL PARK DR, YVMC ED, STEAMBOAT SPRINGS, CO 80487-8813
(970) 870-1040
Mailing address
1024 CENTRAL PARK DR, YVMC ED, STEAMBOAT SPRINGS, CO 80487-3122
(970) 870-1040

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46880
CO
208D00000X
General Practice Physician
46880
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21532222
CO
Enumeration date
09/20/2006
Last updated
02/10/2012
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