Individual
DAVID DOUGLAS WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVENUE, RM 5G1, SAN FRANCISCO, CA 94110-3518
(415) 206-3503
(415) 206-5100
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C50282
CA
207RC0000X
Cardiovascular Disease Physician
C50282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C502820
—
CA
Enumeration date
06/11/2006
Last updated
07/13/2026
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