Individual provider · Type 1 NPI
Edward R. Watson, PA
Medical Physician Assistant · Las Cruces, NM
NPI number
1508232240
Active
Practice location
2530 S Telshor Blvd Ste 207
Las Cruces, NM 88011-4975
Mailing address
2530 S. Telshor Blvd. Suite 207
Las Cruces, NM 88011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2015-0057 (NM) |
Medical Physician Assistant: Definition to come...
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About NPI 1508232240
Edward R. Watson, PA's National Provider Identifier is 1508232240, issued on Aug 17, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 12, 2016.