Individual
DR. JEREMY J WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 N 3RD AVE, SUITE 101, SANDPOINT, ID 83864-1594
(208) 263-1435
(208) 263-4580
Mailing address
606 N 3RD AVE, SUITE 101, SANDPOINT, ID 83864-1594
(208) 263-1435
(208) 263-4580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9457
ID
Other
Enumeration date
01/26/2006
Last updated
03/03/2008
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