Individual
DR. CRAIG MARTIN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6991 S SHORE DR, HARTSBURG, MO 65039-9775
(573) 893-4648
Mailing address
6991 S SHORE DR, HARTSBURG, MO 65039-9775
(573) 893-4648
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R8E12
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WA212430
—
MO
Enumeration date
07/07/2008
Last updated
07/07/2008
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