Individual
DR. WILLIAM J. WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2478 PATTERSON RD, # 7, GRAND JCT, CO 81505-3605
(970) 255-7065
(970) 255-7076
Mailing address
2478 PATTERSON RD, # 7, GRAND JCT, CO 81505-3605
(970) 255-7065
(970) 255-7076
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33513
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01335132
—
CO
01
—
841413590000
ROCKY MTN HEALTH CARE OTN
CO
01
—
WA93841
BCBS
CO
Enumeration date
05/24/2005
Last updated
09/18/2013
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