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Individual

DAVID H WATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399
Mailing address
27650 FERRY RD, SUITE 100, WARRENVILLE, IL 60555-3845
(630) 225-2663
(630) 225-2399

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036062861
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01130123
RR MEDICARE
IL
Enumeration date
10/19/2005
Last updated
04/01/2014
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