Dr. Jan D Watson
Obstetrician
2030 W Baseline Rd Suite 182-235
Phoenix
, Arizona 85041-6574
Dr. Jan D Watson
Obstetrician
2030 W Baseline Rd Suite 182-235
Phoenix
, Arizona 85041-6574
(602) 833-2549
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Jan D Watson
- 2030 W Baseline Rd Ste 182-235
- Phoenix, AZ
- Zip : 85041-6579
- Fax : (602) 833-2549
- Phone : (602) 899-3923
Second Address
- Dr. Jan D Watson
- 2030 W Baseline Rd Suite 182-235
- Phoenix, AZ
- Zip : 85041-6574
- Phone : (602) 957-2407
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 24951 | AZ |
National Provider Identifier
| NPI | 1336104108 |
|---|---|
| Provider Name | Dr. Jan D Watson |
| First Address | Phoenix, AZ 85041-6579 |
| Second Address | Phoenix, AZ 85041-6574 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 19/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03-1881 | MEDICARE (01) | |
| 279689 | (05) | AZ |
| Z148521 | MEDICARE (01) | |
| ZFQ31815 | MEDICARE (01) |
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.