Individual
DR. JOSEPH R WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W STE 404, PROVO, UT 84604-3359
(801) 357-7401
(801) 357-3708
Mailing address
1055 N 300 W STE 404, PROVO, UT 84604-3359
(801) 357-7401
(801) 357-3708
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1706651205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7246A
WYOMING LICENSE
WY
Enumeration date
07/12/2006
Last updated
11/05/2013
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