Individual
DR. CHESTER HILL WATERS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11819 MIRACLE HILLS DR, SUITE 203, OMAHA, NE 68154-4428
(402) 492-9922
(402) 492-9944
Mailing address
11819 MIRACLE HILLS DR, SUITE 203, OMAHA, NE 68154-4428
(402) 492-9922
(402) 492-9944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14899
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1599
BCBS NE
NE
05
—
47073160200
—
NE
Enumeration date
10/26/2005
Last updated
12/04/2007
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