Individual
JOHN V WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7552
(702) 839-1203
(702) 839-1301
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 839-1203
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
G67480
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2018-0581
NM
208600000X
Surgery Physician
G67480
CA
208VP0000X
Pain Medicine Physician
G67480
CA
208VP0014X
Interventional Pain Medicine Physician
MD2018-0581
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42475813
—
NM
Enumeration date
02/28/2006
Last updated
05/05/2025
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