Individual
DR. STEVEN M WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1913 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 965-1977
(765) 965-1311
Mailing address
1913 CHESTER BLVD, RICHMOND, IN 47374-1212
(765) 965-1977
(765) 965-1311
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
01033831
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352860
—
IN
Enumeration date
08/08/2006
Last updated
07/08/2007
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