Edward R Watson, PA Valid NPI

Individual provider · Medical Physician Assistant · Las Cruces, NM

NPI

1508232240

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA2015-0057 (NM)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-08-17

Last updated

2016-02-12