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Individual

ROBERT WILLIAM WATROUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100
Mailing address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
50616
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G81561
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022362
KAISER COMMERCIAL NUMBER
CO
05
63631717
CO
Enumeration date
11/29/2006
Last updated
11/26/2024
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