Individual
DR. JOHN ROBERT WATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
747 52ND ST, CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, OAKLAND, CA 94609-1809
(510) 428-3550
Mailing address
747 52ND ST, CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, OAKLAND, CA 94609-1809
(510) 428-3550
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G85487
CA
208000000X
Pediatrics Physician
G85487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G85487
—
CA
Enumeration date
06/12/2006
Last updated
02/20/2013
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