Individual
TIMOTHY WATSON
Active
Individual
TIMOTHY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G54436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170233
STATE OF WASHINGTON
CA
01
—
P00005381
RAILROAD MEDICARE
CA
Enumeration date
11/28/2005
Last updated
05/09/2008
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