Individual
DR. HALLET N WATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6831
(719) 766-5333
(719) 766-5651
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21874
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01218742
—
CO
01
—
930027391
RR MEDICARE
CO
Enumeration date
05/05/2006
Last updated
12/21/2009
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