Individual
DR. MARYSIA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4624 S HOLLADAY BLVD, SALT LAKE CITY, UT 84117-7054
(801) 277-2682
Mailing address
4624 S HOLLADAY BLVD, SALT LAKE CITY, UT 84117-7054
(801) 277-2682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12377655-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/28/2018
Last updated
11/30/2021
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