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1821046335
STANLEY J WATERS
BOISE, ID
NPI
1821046335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M6247)
Enumeration Date
2006-05-05
Last Update Date
2015-05-05
Business Address
-- STANLEY J WATERS M.D., PH.D.
1673 SHORELINE DR STE 100
BOISE, ID 83702-6736
Phone number: 208-322-0485
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Mailing Address
-- STANLEY J WATERS M.D., PH.D.
1673 SHORELINE DR STE 100
BOISE, ID 83702-6736
Phone number: 208-322-0485
Copy
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