Provider Demographics
NPI:1457598641
Name:WATTS, CHRIS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:E
Last Name:WATTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2629 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9565
Mailing Address - Country:US
Mailing Address - Phone:319-338-3623
Mailing Address - Fax:319-338-3623
Practice Address - Street 1:2629 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9565
Practice Address - Country:US
Practice Address - Phone:319-338-3623
Practice Address - Fax:319-338-3623
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA40291207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1457598641Medicaid
P01064685OtherRAILROAD MEDICARE