| Doctor Name: | DR. WALTER EDWIN WATTS |
| NPI Number: | 1174784540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 27100 |
| Business Practice Address: | 609 Virginia Ave Ponca City, OK - 746012911 |
| Business Phone Number: | 5807671300 |
| Business Fax Number: | 5807671960 |
| Mailing Address: | 230 N Midwest Blvd, MIDWEST CITY |
| State: | OK |
| Postal Code: | 731104321 |
| Phone Number: | 4057398724 |
| Fax Number: | 4057398707 |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | 27100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |