Individual
DR. MICHAEL LANCE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3030
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26920
OK
207P00000X
Emergency Medicine Physician
M9083
TX
Other
Enumeration date
03/26/2008
Last updated
01/29/2014
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