Organization
CHESTER H WATERS III MD PC
Active
Organization
CHESTER H WATERS III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER H WATERS III M.D. (PRESIDENT)
(402) 492-9922
Entity
Organization
Contact information
Practice address
11819 MIRACLE HILLS DR STE 203, OMAHA, NE 68154-4428
(402) 492-9922
(402) 492-9944
Mailing address
11819 MIRACLE HILLS DR STE 203, OMAHA, NE 68154-4428
(402) 492-9922
(402) 492-9944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1599
BCBS NE
NE
Enumeration date
11/09/2006
Last updated
04/20/2008
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