Individual
JAMES D WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4000
Mailing address
PO BOX 432, MOUNTAIN HOME, AR 72654-0432
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C7550
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128653001
—
AR
Enumeration date
06/05/2006
Last updated
04/28/2011
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