Jeffrey H Watters in Glendale - Diagnostic Radiology

Jeffrey H Watters - NPI 1992794937

Jeffrey H Watters is a Diagnostic Radiology in Glendale, Arizona. Jeffrey H Watters practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey H Watters is 1992794937. The last update date is 2007-07-08.

Jeffrey H Watters's current location address is 5322 W Northern Ave, Glendale, Arizona. You can contact this provider via phone number 4804255063 and fax number 6239156924. The mailing address for Jeffrey H Watters is 5322 W Northern Ave, Glendale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey H Watters
Address 5322 W Northern Ave, Glendale, Arizona
Phone Number 4804255063
Fax Number 6239156924
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1992794937
Provider Enumeration Date 2005-10-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5322 W Northern Ave
City Glendale
State Arizona (AZ)
Post Code 853011405
Phone Number 4804255063
Fax Number 6239156924

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 29102
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
571506 AZ AHCCCS
66978 AZ VRL

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FAQs about Jeffrey H Watters

What is the unique identification code assigned to Jeffrey H Watters by the Centers for Medicare & Medicaid Services?

The Jeffrey H Watters has been issued the NPI (National Provider Identifier) 1992794937. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeffrey H Watters is physically located?

The Jeffrey H Watters is physically situated at the following address: 5322 W Northern Ave, Glendale, AZ, 853011405.

What is Jeffrey H Watters's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeffrey H Watters is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.

On what date did Jeffrey H Watters receive its 1992794937 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey H Watters was assigned its 1992794937 on 2005-10-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jeffrey H Watters, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey H Watters, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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