Stanley J. Waters MD

NPI #1952359473 in Boise, Idaho

Provider Information

NPI Number: 1952359473
Entity Type: Organization
Organization Name: Stanley J. Waters MD
Primary Specialty: Orthopaedic Surgery
Enumeration Date: May 5, 2006
Last Updated: May 5, 2015

Practice Location

Address: 1673 SHORELINE DR
Address 2: STE 100
City: Boise
State: Idaho
ZIP Code: 83702-6736
Phone: (208) 322-0485

Authorized Official

Name: STANLEY J WATERS, M.D., PH.D.
Title: OWNER
Phone: (208) 322-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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