Provider Demographics
NPI:1841275591
Name:WATTS, DARON ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:DARON
Middle Name:ALAN
Last Name:WATTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 CLAXTON GLEN CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-6000
Mailing Address - Country:US
Mailing Address - Phone:937-813-5820
Mailing Address - Fax:
Practice Address - Street 1:411 CLAXTON GLEN CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-6000
Practice Address - Country:US
Practice Address - Phone:937-813-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-076993207R00000X, 2084P0800X
AK6972207R00000X, 2084P0800X
CAC1871732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine