Brian S Watson, PA-C

NPI #1336694629 in Pocatello, Idaho

Provider Information

NPI Number: 1336694629
Entity Type: Individual
Name: Brian S Watson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 17, 2016
Last Updated: Sep 5, 2016

Practice Location

Address: 777 HOSPITAL WAY
City: Pocatello
State: Idaho
ZIP Code: 83201-5175
Phone: (208) 239-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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