Mountain Medical of Watertown

NPI #1306068812 in Watertown, New York

Provider Information

NPI Number
1306068812
Entity Type
Organization
Organization Name
Mountain Medical of Watertown
Primary Specialty
Physician Assistant
Enumeration Date
May 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
457 GAFFNEY DR
ZIP Code
13601
Phone
(315) 779-2273

Authorized Official

Name
MR. MARK A KNOWLES, PA
Title
PA
Phone
(315) 779-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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