Individual
SHAWN TODD WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-7163
Mailing address
7128 BOYCE DR, BATON ROUGE, LA 70809-1153
(225) 924-1821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17232
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486299
—
LA
01
—
P00659887
RAILROAD MCARE THRU PEPA
LA
Enumeration date
06/08/2006
Last updated
04/24/2013
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