Individual
BRUCE ALLEN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2802 BRANDON AVE SW, ROANOKE, VA 24015-3310
(540) 855-5139
(540) 342-4373
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5139
(540) 342-4373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101025426
VA
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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