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Contact Information

CHARLES K WATT, DO
101 S MAIN ST
ROGERSVILLE, MO65742-9357
 Phone: 417-753-9404
 Fax: 417-753-9137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES K WATT · (Male)

NPI # 1134124324
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/15/2005
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R2D59
  • MO Medicaid 1134124324
  • MO Medicaid 241858372
  • Other P00003782 RR MEDICARE
Hospital affiliation(s)
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • COX MONETT HOSPITAL - (Critical Access)
    801 NORTH LINCOLN AVENUE
    MONETT, MO 65708
  • OZARKS COMMUNITY HOSPITAL OF GRAVETTE - (Critical Access)
    1101 JACKSON STREET SW
    GRAVETTE, AR 72736
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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