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Individual

EDWARD WATTS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
131 E SOUTH G ST, GAS CITY, IN 46933-1752
(765) 667-0020
Mailing address
131 E SOUTH G ST, GAS CITY, IN 46933-1752
(765) 667-0020

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
246ZS0410X
Surgical Technologist

Other

Enumeration date
05/24/2009
Last updated
10/27/2012
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