NPI 1174620389 · live from the CMS NPI Registry
Joseph R. Watkins MD PC
Psychiatry & Neurology, Neurology in Provo, UT. National Provider Identifier 1174620389, active.
NPI record
| NPI | 1174620389 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1055 N 300 W Ste 404, Provo, UT 84604 |
| Practice phone | 801-357-7401 |
| Enumerated | September 20, 2006 |
| Last updated | November 5, 2013 |
| Authorized official | Karen Watkins, Office Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1706651205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.