Individual
DR. MATTHEW ROBERT WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1711 27TH ST STE 206, PORTSMOUTH, OH 45662-2669
(740) 356-8772
(740) 356-1264
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004692A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
34.014050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358304
—
OH
Enumeration date
03/18/2013
Last updated
04/19/2023
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