ZACHRY LANE WATERSON

FORT WAYNE, IN
NPI1902842677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  0200245A)
Enumeration Date2006-06-21
Last Update Date2011-06-03
Business Address
-- ZACHRY LANE WATERSON DO
750 BROADWAY SUITE 350
FORT WAYNE, IN 46802-1411
Phone number: 260-423-2682
Mailing Address
-- ZACHRY LANE WATERSON DO
750 BROADWAY SUITE 150
FORT WAYNE, IN 46802-1411
Phone number: 260-423-2682
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