Brent Thomas Watson
Sports Medicine Orthopaedic Surgeon
2132 N 1700 W Ste 230
Layton
, Utah 84041-7060
Brent Thomas Watson
Sports Medicine Orthopaedic Surgeon
2132 N 1700 W Ste 230
Layton
, Utah 84041-7060
(801) 475-9499
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Brent Thomas Watson
- 640 Westbrook Cir
- Kaysville, UT
- Zip : 84037-1586
- Fax : (801) 475-9499
- Phone : (801) 589-3177
Second Address
- Brent Thomas Watson
- 2132 N 1700 W Ste 230
- Layton, UT
- Zip : 84041-7060
- Fax : (801) 773-3900
- Phone : (801) 773-3900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 187506-1205 | UT |
National Provider Identifier
| NPI | 1225129158 |
|---|---|
| Provider Name | Brent Thomas Watson |
| First Address | Kaysville, UT 84037-1586 |
| Second Address | Layton, UT 84041-7060 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H66239 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.