Individual
DR. RICHARD ALAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3809
(816) 233-2020
(816) 279-4662
Mailing address
5202 FARAON ST, SAINT JOSEPH, MO 64506-3809
(816) 233-2020
(816) 279-4662
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R7N30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202915906
—
MO
Enumeration date
06/01/2005
Last updated
07/19/2012
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