| Doctor Name: | DAVID WATERS |
| NPI Number: | 1417913559 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9819 |
| Business Practice Address: | 129 N Kentucky St Pryor, OK - 743614211 |
| Business Phone Number: | 9186649892 |
| Business Fax Number: | 9186642521 |
| Mailing Address: | 4500 S Garnett Rd, Ste 300 TULSA |
| State: | OK |
| Postal Code: | 741465229 |
| Phone Number: | 9186649892 |
| Fax Number: | 9186642521 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 9819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |