Individual
DR. DWAIN DONAVAN WATROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0045460
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97423866
—
CO
01
—
P00782762
MEDICARE - RR
CO
Enumeration date
07/28/2006
Last updated
06/07/2013
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