Individual
MR. THOMAS W WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5911 LAUREL RIDGE DR, NEWBURGH, IN 47630-8067
(812) 490-7794
Mailing address
5911 LAUREL RIDGE DR, NEWBURGH, IN 47630-8067
(812) 490-7794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2005
Last updated
03/29/2010
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