Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | G66440 | CA |
NPI | 1043524051 |
---|---|
Provider Name | Hugh Watts |
First Address | Philadelphia, PA 19178-7642 |
Second Address | Los Angeles, CA 90020-1117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 05/02/2013 |