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NPI Code Detail

MEDICARE: DR. DAVID M WATERHOUSE MD

MEDICARE: DR. DAVID M WATERHOUSE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician33573KY
2207RX0202XMedical Oncology Physician56542MA
3207RH0003XHematology & Oncology Physician35065059OH

General Provider Information

NPI Number : 1578557864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M WATERHOUSE MD
Provider Business Mailing Address
First Line : 3301 MERCY HEALTH BLVD STE 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1108
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1848
Provider Business Practice Location Address
First Line : 3301 MERCY HEALTH BLVD STE 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1108
Country : US
Telephone Number : 513-751-2145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 04/14/2023

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