Individual
MR. BRYANT WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HWY 191 HOSPITAL TURNOFF, CHINLE, AZ 86503
(928) 674-7502
Mailing address
PO BOX 2993, CHINLE, AZ 86503-2993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213459
VA
1835P2201X
Ambulatory Care Pharmacist
0202213459
VA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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