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Individual

DR. CHARLES C WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1989 MIAMISBURG CENTERVILLE RD STE 204, DAYTON, OH 45459-3858
(937) 401-6822
(937) 401-6910
Mailing address
1989 MIAMISBURG CENTERVILLE RD STE 204, DAYTON, OH 45459-3858
(937) 401-6822
(937) 401-6910

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34-00-3378-W
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000383922
BCBS OHIO
OH
05
0629930
OH
01
2924716
AETNA
OH
01
34003378
MEDICAL LICENSE
OH
01
421534506019
CHAMPUS/TRICARE
OH
01
421534506038
CARESOURCE
OH
Enumeration date
06/17/2005
Last updated
11/16/2020
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