Individual
DR. BRUCE A WATT
Active
Individual
DR. BRUCE A WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1655
SD
207RI0011X
Interventional Cardiology Physician
1655
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003371
SD BCBS
SD
05
—
0933036
—
IA
01
—
165035
UCARE
—
01
—
1655
DAKOTACARE
SD
01
—
24694
HEALTH PARTNERS
—
01
—
25-00495
MEDICA SELECTCARE
—
05
—
415088100
—
MN
01
—
4T612WA
MN BCBS - PLAN 91057NO
MN
01
—
53997
IA BCBS
IA
01
—
539ROWA
MN BCBS - PLAN 538R2NO
MN
05
—
6000872
—
SD
01
—
931451029050
PREFERRED ONE
—
Enumeration date
05/22/2006
Last updated
08/18/2021
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