Watson, Randall L.

Watson, Randall L. is an individual health care provider with primary practice located at 1575 W 7000 S , West Jordan UT 84084-3431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watson, Randall L. can be contacted via phone (801) 569-9133.

Contact Information

Primary practice address
1575 W 7000 S West Jordan UT 84084-3431
Phone: (801) 569-9133
Fax: (801) 569-9103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 175699-1205 Utah

Profile Details

NPI number 1952341000
LBN Legal business name Watson, Randall L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952341000 NPPES
Utah Other 1174707517 GROUP / CORP NPI
Utah Other 1952341000 GROUP / CORP NPI

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