Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD421843 | PA |
Y | 208600000X | Surgeon | MD421843 | PA |
N | 2086S0102X | Surgical Critical Care | MD421843 | PA |
NPI | 1174728158 |
---|---|
Provider Name | Dr. Gregory Allen Watson |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 15/04/2021 |