Individual
ROY JAY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13921 W GRAND AVE, SUITE 502, SURPRISE, AZ 85374-2439
(623) 214-2200
(623) 214-2208
Mailing address
13921 W GRAND AVE, SUITE 502, SURPRISE, AZ 85374-2439
(623) 214-2200
(623) 214-2208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161977
—
AZ
Enumeration date
08/23/2006
Last updated
10/02/2015
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