Whalio Doctors

NPI 1144553132

Mark Andrew Waterman, CRNA

Practitioner Certified Registered Nurse Anesthetist Altus, OK

Practice location

Address
1200 E Pecan St, Altus, OK 73521-6141
Phone
(580) 379-5860

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 96660 (OK)

Registry record

NPI
1144553132
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Sep 2009
Record last updated
9 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.