Stanley Waters, M.D., PH.D

NPI 1821046335 · on the registry since 2006 · sole proprietor

Practice

Address: 1673 Shoreline Dr
Ste 100
Boise, ID 83702
Phone: (208) 322-0485
Fax: (208) 378-8228
Organisation at this address: The Pain Center
Stanley J. Waters Md
Saint Alphonsus Physician Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207X00000X
207X00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho