Individual
MR. JAMES D WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
7973983
NY
207P00000X
Emergency Medicine Physician
Primary
TL2562
WY
Other
Enumeration date
04/06/2011
Last updated
10/04/2016
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