Individual
FREDRICK EDWARD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT3
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, SUITE 150, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6159
Mailing address
PO BOX 528, ATTN: BH EMERGENCY SERVICES, BETHEL, AK 99559-0528
(907) 543-6100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
146M00000X
Intermediate Emergency Medical Technician
10035002
AK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
06/11/2014
Last updated
03/03/2017
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