Mark Waters MD

NPI 1104813096 - Emergency Medicine - 207P00000X

NPI Details
NPI 1104813096
Gender Male
Enumeration Date 10/05/2005
Last Updated 06/25/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2600 OLD WASHINGTON RD
UPPER ST CLAIR PA, 15241-2524, US
Phone (412) 854-3627
Fax
Business Location
107 HICKORY HEIGHTS DR
BRIDGEVILLE PA, 15017-1077, US
Phone (412) 319-7688
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Pennsylvania
License Number MD045454L
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According to our database, Dr. Mark Waters MD NPI is 1104813096, taxonomy code is 207P00000X and license number is MD045454L, license state is located at Pennsylvania. Mark Waters MD physically located at 2600 Old Washington Rd, Upper St Clair PA, 15241-2524. NPI Number Mark Waters MD has the Individual type.

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1104813096 NPI number is provided on an as is basis without warranty of any kind. 1104813096 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Waters MD are for informational purposes only.