| NPI | 1477892172 |
|---|---|
| Former Legal Business Name | WILLIAM J. WATERHOUSE, MD |
| Entity Type | Organization |
| Authorized Contact | SUSAN WATERHOUSE Practice Administrator 970-255-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-09-17 |