Organization
STEPHEN K WATERBROOK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN K WATERBROOK MD (MD)
(530) 272-2257
Entity
Organization
Contact information
Practice address
150 CATHERINE LN, SUITE J, GRASS VALLEY, CA 95945-5719
(530) 272-2257
Mailing address
150 CATHERINE LN, SUITE J, GRASS VALLEY, CA 95945-5719
(530) 272-2257
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
03/09/2015
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