Organization
JACK V. WATERS, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK V. WATERS D.C. (PRESIDENT)
(575) 763-8888
Entity
Organization
Contact information
Practice address
1833 W 21ST ST, CLOVIS, NM 88101-4023
(575) 763-8888
(575) 763-8891
Mailing address
1833 W 21ST ST, CLOVIS, NM 88101-4023
(575) 763-8888
(575) 763-8891
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
989
NM
Other
Enumeration date
09/04/2008
Last updated
12/10/2008
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