Individual
MRS. BECKY ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DRIVE, SUITE 201, OSAGE BEACH, MO 65065-3050
(573) 302-2764
(573) 302-2767
Mailing address
P.O. BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R1F29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160026779
RAILROAD MEDICARE
MO
05
—
1841285681
—
MO
Enumeration date
09/19/2005
Last updated
06/09/2015
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