Stanley J Waters

NPI #1023367828 in Emmett, Idaho

Provider Information

NPI Number
1023367828
Entity Type
Organization
Organization Name
Stanley J Waters
Primary Specialty
General Acute Care Hospital
Enumeration Date
Sep 7, 2012
Last Updated
Sep 7, 2012

Practice Location

Address
1795 S SUB STATION RD
City
Emmett
State
Idaho
ZIP Code
83617-9431
Phone
(208) 870-2689

Authorized Official

Name
MRS. KATHY ANN BUCKLEY, RN
Title
RNFA
Phone
(208) 870-2689

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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