Individual
DR. SCOTT ALAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18218 STATE ROAD 37, HARLAN, IN 46743-9609
(260) 657-5159
(260) 657-5150
Mailing address
18218 STATE ROAD 37, HARLAN, IN 46743-9609
(260) 657-5159
(260) 657-5150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35083455W
OH
207Q00000X
Family Medicine Physician
Primary
IN01052821
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677841
—
IN
05
—
200298440
—
IN
01
—
36D1049674
CLIA
IN
Enumeration date
09/12/2006
Last updated
04/01/2024
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