Provider Demographics
NPI:1235021056
Name:WATSON, ANTHONY L SR
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:L
Last Name:WATSON
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6781 OAKTON LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-8250
Mailing Address - Country:US
Mailing Address - Phone:614-402-6277
Mailing Address - Fax:
Practice Address - Street 1:6781 OAKTON LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-8250
Practice Address - Country:US
Practice Address - Phone:614-402-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist