Individual
DR. EDWARD T. WATERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 CENTRAL AVE, ATTN: CDR WATERS, KBAY PEDIATRICS, PEARL HARBOR, HI 96860-4908
(808) 257-5041
Mailing address
172 AIKAHI LOOP, KAILUA, HI 96734-1642
(808) 257-5041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G 79906
CA
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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