Individual
DR. THOMAS ALAN WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 S SAN MATEO DR, SUITE 303, SAN MATEO, CA 94401-3819
(650) 218-5758
(650) 375-8398
Mailing address
101 S SAN MATEO DR, SUITE 303, SAN MATEO, CA 94401-3819
(650) 218-5758
(650) 375-8398
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
G50566
CA
207UN0901X
Nuclear Cardiology Physician
MD13617
HI
Other
Enumeration date
05/11/2006
Last updated
01/22/2009
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