Individual
JONATHAN MICHAEL WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(713) 213-2733
Mailing address
4731 BLUE HERON CIR, ANCHORAGE, AK 99507-5013
(713) 213-2733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
102666
AK
Other
Enumeration date
06/09/2011
Last updated
11/30/2015
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