Charles G Watt D O P L L C

NPI #1063730364 in Las Vegas, Nevada

Provider Information

NPI Number: 1063730364
Entity Type: Organization
Organization Name: Charles G Watt D O P L L C
Primary Specialty: Internal Medicine
Enumeration Date: May 11, 2010
Last Updated: Jul 19, 2010

Practice Location

Address: 7529 CORAL RIVER DR
City: Las Vegas
State: Nevada
ZIP Code: 89131-2619
Phone: (702) 656-4150

Authorized Official

Name: CHARLES G WATT, DO
Title: PROVIDER
Phone: (702) 656-4150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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