Individual
VICTOR OWEN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 SOUTH 'B' STREET, SKIATOOK, OK 74070-1539
(918) 230-2193
(918) 396-7319
Mailing address
120 SOUTH 'B' STREET, SKIATOOK, OK 74070-1539
(918) 230-2193
(918) 396-7319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17315
CO
207L00000X
Anesthesiology Physician
9275
OK
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
17315
CO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
9275
OK
207P00000X
Emergency Medicine Physician
Primary
17315
CO
207P00000X
Emergency Medicine Physician
9275
OK
Other
Enumeration date
04/17/2007
Last updated
09/11/2025
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