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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WALLACE CARLISLE WATSON JR., PA

Active

MR. 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 ST
CUBA, NY, 147271205
Browse 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.