Individual
MARIAH B WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, COLORADO SPRINGS, CO 80913-4604
(719) 503-7421
Mailing address
6762 LAMINE DR, COLORADO SPRINGS, CO 80925-9643
(307) 286-2561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
02/27/2026
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