MR. Michael Watson, SF-IDC

NPI #1447669692 in Enterprise, Alabama

Provider Information

NPI Number: 1447669692
Entity Type: Individual
Name: MR. Michael Watson, SF-IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: SF-IDC
Enumeration Date: Aug 12, 2014
Last Updated: Aug 12, 2014

Practice Location

Address: 1713 COUNTY ROAD 717
City: Enterprise
State: Alabama
ZIP Code: 36330-6105
Phone: (334) 447-8023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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