Susan E Waters, M.D.
Internal Medicine in Kentfield, CA. Individual provider (NPI-1).
NPI number1629005772
StatusActive
Last updated in NPPESOct 23, 2008
Details
- NPI
- 1629005772
- Entity type
- Individual (NPI-1)
- Name
- Susan E Waters
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2006
- Last updated
- Oct 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | G43530 | CA | Yes |
Practice location
1125 Sir Francis Drake BlvdKentfield, CA 94904-1418
Phone 415-485-3524 · Fax 415-485-3507
Mailing address
1125 Sir Francis Drake BlvdKentfield, CA 94904-1418
Phone 415-485-3524 · Fax 415-485-3507
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