Individual
BENJAMIN MARK WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-0425
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
161077
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
33762
MS
Other
Enumeration date
03/26/2018
Last updated
08/16/2024
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