Individual
RICHARD M WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-5404
(765) 751-2757
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01083648A
IN
207L00000X
Anesthesiology Physician
52853
KY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
01083648A
IN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
E3620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100041218
ANTHEM PTAN
IN
05
—
300040933
—
IN
Enumeration date
05/11/2006
Last updated
12/31/2024
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