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Individual
ADAM T WATERMAN
Active
Individual
ADAM T WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2012013499
MO
207Q00000X
Family Medicine Physician
Primary
DO182303
OR
Other
Enumeration date
06/30/2010
Last updated
02/04/2022
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