Individual
YASMIRA IVETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11155 DUNN RD, STE: 315E, SAINT LOUIS, MO 63136-6150
(314) 355-7500
(314) 355-3287
Mailing address
11155 DUNN RD, STE: 315E, SAINT LOUIS, MO 63136-6150
(314) 355-7500
(314) 355-3287
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
36905
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202826327
—
MO
Enumeration date
08/18/2006
Last updated
07/08/2007
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