Individual
JEFFREY ARTHUR WATERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 BROADWAY ST, STE 206, KANSAS CITY, MO 64111-3498
(816) 561-8100
(916) 561-8154
Mailing address
6114 LOCKTON LN, FAIRWAY, KS 66205-3426
(913) 677-9094
(816) 561-8154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R6901
MO
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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