Individual
DR. BRENT J WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3160 CROW CANYON RD, SUITE 120, SAN RAMON, CA 94583-1368
(925) 275-1990
(925) 275-1993
Mailing address
3160 CROW CANYON RD., SUITE 120, SAN RAMON, CA 94583
(925) 275-1990
(925) 275-1993
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
13414
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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