Individual
DR. CAREY LANE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4182
(260) 469-7337
(260) 469-7340
Mailing address
7613 W JEFFERSON BLVD STE 200, FORT WAYNE, IN 46804-4182
(260) 469-7337
(260) 469-7340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01081997A
IN
2086S0120X
Pediatric Surgery Physician
Primary
01081997A
IN
Other
Enumeration date
05/10/2010
Last updated
08/23/2019
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