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Ben Gervas Watson, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Lodi, California
NPI 1467500181

Ben Gervas Watson is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Lodi, CA. Ben Gervas Watson practices in Lodi, CA and has the professional credentials of MD. The NPI Number for Ben Gervas Watson is 1467500181 and holds a License No. A40293 (California).

The current practice location address for Ben Gervas Watson is 840 S Fairmont Ave, Lodi, CA and can be reached out via phone at 209-333-1751.

Location: 840 S Fairmont Ave, Lodi, CA, 95240-5105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467500181
Provider Name
Ben Gervas Watson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
840 S Fairmont Ave, Lodi, CA, 95240-5105
Phone Number
209-333-1751
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
840 S Fairmont Ave
City
Lodi
State
California
Zip
95240-5105
Phone Number
209-333-1751
Fax Number
person
Provider Business Mailing Address Details
Address
840 S Fairmont Ave
City
Lodi
State
California
Zip
95240-5105
Phone Number
209-333-1751
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
A40293 (California)
Definition
Definition to come.
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