Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALLACE CARLISLE WATSON JR., PA
ActiveMR. WALLACE CARLISLE WATSON JR., PA is a Physician Assistant healthcare provider located in CUBA, New York. NPI 1073554150 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CUBA, NY
Registration Details
- NPI Number
- 1073554150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.164489717084 yrs)
- Last Updated
- May 28, 2013
- Licenses
-
0012551 (NY)001255 (NY)
Practice Information
- Address
-
21 E MAIN STCUBA, NY, 147271205Browse NY providers · Browse ZIP 14727
- Phone
- 5859684357
- Fax
- 5859684356
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CUBA, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID MICHAEL HANRAHAN | RPA-C | 1265431878 |
| MARK DOMINIC STANCOMBE | RPA-C | 1659456028 |
| ALINDA HONEY | P.A. | 1316158496 |
| CHRISTIAN ROBERTO QUINONES RODRIGUEZ | — | 1992456396 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.