TY WATERS

NAMPA, ID
NPI1518492388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-14528)
Enumeration Date2017-04-28
Last Update Date2026-09-02
Business Address
TY WATERS MD
215 E HAWAII AVE STE 140
NAMPA, ID 83686-6011
Phone number: 208-514-2529
Mailing Address
TY WATERS MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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