Myra June Watson is a Nephrology in Columbia, Missouri. Myra June Watson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Myra June Watson is 1366448425. The last update date is 2014-04-09.
Myra June Watson's current location address is 1205 W Broadway, Columbia, Missouri. You can contact this provider via phone number 5734990642 and fax number 5734491787. The mailing address for Myra June Watson is 1205 W Broadway, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myra June Watson |
|---|---|
| Address | 1205 W Broadway, Columbia, Missouri |
| Phone Number | 5734990642 |
| Fax Number | 5734491787 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1366448425 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 1205 W Broadway |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652032125 |
| Phone Number | 5734990642 |
| Fax Number | 5734491787 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 108840 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G99626 | MO | MERCY | |
| 1911260 | MO | FIRST HEALTH | |
| 143430 | MO | BLUE CROSS BLUE SHIELD | |
| 7329520 | MO | AETNA | |
| 458323 | MO | HEALTHLINK | |
| 623655 | MO | HUMANA | |
| 3100096 | MO | UNITED HEALTHCARE | |
| 390007475 | MO | RAILROAD MEDICARE | |
| 17496 | MO | HEALTHCARE USA | |
| 245327309 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Myra June Watson?
The Myra June Watson has been issued the NPI (National Provider Identifier) 1366448425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Myra June Watson's facilities are situated?
The facilities of Myra June Watson are physically located at the following address: 1205 W Broadway, Columbia, MO, 652032125.
What is the Myra June Watson's area of specialization and corresponding taxonomy classification?
The Myra June Watson's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date was the 1366448425 assigned to Myra June Watson?
The Myra June Watson was issued its 1366448425 on 2005-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Myra June Watson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Myra June Watson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-09.