Individual
RYAN WESLEY WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6999
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C7-0018836
DE
Other
Enumeration date
04/09/2025
Last updated
04/11/2025
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