Individual
DR. BRUCE ALLAN WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NMOTC, 220 HOVEY RD, PENSACOLA, FL 32508
(850) 452-9484
Mailing address
505 S. 336TH ST., SUITE 600, FEDERAL WAY, WA 98003
(253) 838-6180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00037272
WA
207QA0505X
Adult Medicine Physician
Primary
MD00037272
WA
Other
Enumeration date
06/27/2006
Last updated
07/10/2020
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