Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35092909 | OH |
N | 111NI0900X | Internist | 35092909 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35092909 | OH |
NPI | 1154527000 |
---|---|
Provider Name | Dr. Joshua Robert Watson |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 03/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3117013 | (05) | OH |