Provider Demographics
NPI:1033613377
Name:WATKINS, WILLIAM GLEN (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GLEN
Last Name:WATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3700 STATE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3192
Mailing Address - Country:US
Mailing Address - Phone:805-682-7751
Mailing Address - Fax:805-563-2527
Practice Address - Street 1:514 W PUEBLO ST FL 2
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6219
Practice Address - Country:US
Practice Address - Phone:805-682-7751
Practice Address - Fax:805-563-2527
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA163321207LP3000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology