Individual
ADRIEL MARCUSEN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-8571
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-8571
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A135094
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/12/2013
Last updated
10/09/2015
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