NPI 1447669692

Michael Watson, SFIDC

Practitioner Independent Duty Corpsman Enterprise, AL

Practice location

Address: 1713 County Road 717, Enterprise, AL 36330-6105
Phone: (334) 447-8023

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1447669692
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2014
Record last updated: 12 Aug 2014

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.