Individual
JOSEPH F WATAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 242-0920
Mailing address
2754 COMPASS DR, SUITE 300, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
(970) 254-1687
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37529
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93105380
—
CO
05
—
T0189
—
UT
Enumeration date
03/23/2006
Last updated
04/28/2008
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