Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEBORAH U WATERS, MD
ActiveSports Medicine (PM&R) · SHIPROCK, NM
Registration Details
- NPI Number
- 1073502639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2005 (20.552543288405 yrs)
- Last Updated
- Dec 26, 2007
- Licenses
-
G2241 (TX)G2241 (TX)MD039557E (PA)
Practice Information
- Address
-
US HWY 491 NORTHSHIPROCK, NM, 87420Browse NM providers · Browse ZIP 87420
- Phone
- 5053686300
- Fax
- 5053686324
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Spinal Cord Injury Medicine
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.