Justin Robert Waters in Tacoma - Diagnostic Radiology

Justin Robert Waters - NPI 1306045877

Justin Robert Waters is a Diagnostic Radiology in Tacoma, Washington. Justin Robert Waters practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Justin Robert Waters is 1306045877. The last update date is 2019-01-10.

Justin Robert Waters's current location address is Po Box 1535, Tacoma, Washington. You can contact this provider via phone number 2537614200 and fax number 2533833553. The mailing address for Justin Robert Waters is Po Box 1535, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin Robert Waters
Address Po Box 1535, Tacoma, Washington
Phone Number 2537614200
Fax Number 2533833553
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306045877
Provider Enumeration Date 2007-07-16
Last Updated Date 2019-01-10

Provider Mailing Address Detail

Address Po Box 1535
City Tacoma
State Washington (WA)
Post Code 984011535
Phone Number 2537614200
Fax Number 2533833553

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD165195
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
500671344 OR --
2028591 WA --

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FAQs about Justin Robert Waters

What is the unique provider identifier assigned to Justin Robert Waters?

The Justin Robert Waters has been issued the NPI (National Provider Identifier) 1306045877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Justin Robert Waters is located?

The Justin Robert Waters is situated at the following address: Po Box 1535, Tacoma, WA, 984011535.

What is Justin Robert Waters's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Justin Robert Waters is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date was the 1306045877 assigned to Justin Robert Waters?

The Justin Robert Waters was issued its 1306045877 on 2007-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Justin Robert Waters last refreshed?

The information related to the Justin Robert Waters, including its address, specialty, and other relevant details, was last updated on 2019-01-10.

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