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Contact Information

JONATHAN M WATERS, MD
4315 DIPLOMACY DR
ANCHORAGE, AK99508-5926
 Phone: 713-213-2733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN M WATERS · (Male)

NPI Number 1447545223
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2011
Last updated 11/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 102666
Hospital affiliation(s)
  • ALASKA NATIVE MEDICAL CENTER - (Acute Care)
    4315 DIPLOMACY DR
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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