Individual
MRS. ERIN E WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
ONE BAKER PLACE, MINERAL CO BOARD OF EDUCATION, KEYSER, WV 26726
(304) 788-4200
(304) 788-6461
Mailing address
51 MILL ST, FROSTBURG, MD 21532
(301) 689-5736
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
04738
MD
2083X0100X
Occupational Medicine Physician
0L008325
PA
2083X0100X
Occupational Medicine Physician
Primary
1353
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010521
—
WV
Enumeration date
01/16/2008
Last updated
01/16/2008
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