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TY WATERS
Family Medicine Physician
NPI: 1518492388IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
MRM-1630(ID)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Class of 2017
Contact & Hours
- Address
- 777 N RAYMOND ST
BOISE, ID 83704 - Phone
- (208) 514-2500
Quick Facts
- NPI
- 1518492388
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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