Individual
MICHAEL ADRIAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4770 ROEMER RD, COLUMBIA, MO 65202-9712
(703) 509-7614
Mailing address
4770 ROEMER RD, COLUMBIA, MO 65202-9712
(703) 509-7614
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2022004922
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
09/04/2024
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