Edwin C Waters, MD

NPI #1861439507 in Owasso, Oklahoma

Provider Information

NPI Number: 1861439507
Entity Type: Individual
Name: Edwin C Waters, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 1, 2006
Last Updated: Feb 9, 2011

Practice Location

Address: 12455 E 100TH ST N
Address 2: SUITE 120
City: Owasso
State: Oklahoma
ZIP Code: 74055-4674
Phone: (918) 274-5510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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