BEN GERVAS WATSON MD NPI 1467500181

NPI Information

NPI: 1467500181
Provider Name: BEN GERVAS WATSON, MD
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual
Address:
840 S FAIRMONT AVE
SUITE 9
LODI, CA
ZIP 95240
Phone: (209) 333-1751
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Ben Gervas Watson, MD is a neuromusculoskeletal medicine sports medicine in Lodi, CA. The provider is definition to come. Ben Gervas Watson, MD NPI is 1467500181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

840 S FAIRMONT AVE
SUITE 9
LODI, CA
ZIP 95240-105
Phone: (209) 333-1751

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		A40293	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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