Individual
DR. JUSTIN ROBERT WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 1535, TACOMA, WA 98401-1535
(253) 761-4200
(253) 383-3553
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD165195
OR
2085N0700X
Neuroradiology Physician
MD60344894
WA
2085R0202X
Diagnostic Radiology Physician
MD165195
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60344894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028591
—
WA
05
—
500671344
—
OR
Enumeration date
07/16/2007
Last updated
09/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us