Shannon Ursula Waterman, MD

NPI #1649279860 in Tacoma, Washington

Provider Information

NPI Number: 1649279860
Entity Type: Individual
Name: Shannon Ursula Waterman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Jul 19, 2005
Last Updated: Aug 5, 2009

Practice Location

Address: 11225 PACIFIC AVENUE
Address 2: PARKLAND CLINIC COMMUNITY HEALTHCARE
City: Tacoma
State: Washington
ZIP Code: 98444
Phone: (253) 536-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
General Practice	208D00000X	Primary

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