NPI 1013466200

Benjamin Watson, PAC

Practitioner Medical Physician Assistant Meridian, ID

Practice location

Address: 520 S Eagle Rd Suite 1234, Meridian, ID 83642-6351
Phone: (661) 332-9138

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1013466200
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2016
Record last updated: 28 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.