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Individual

DR. JOHN S WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 E 31ST ST, KEARNEY, NE 68847-2908
(308) 865-7100
Mailing address
5250 RIVER BLUFF CT, OREANA, IL 62554-9753
(217) 855-5002

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
036107181
IL
207RI0011X
Interventional Cardiology Physician
Primary
65418
TN

Other

Enumeration date
04/27/2006
Last updated
11/08/2023
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