SHANNON WATERMAN, MD

General Practice

Active Individual
NPI: 1649279860

Practice Address

11225 PACIFIC AVENUE
PARKLAND CLINIC COMMUNITY HEALTHCARE
Tacoma, WA 98444

Phone: (253) 536-2020

Specialties

Specialty Code Primary License
Surgery 208600000X No 025209MD00041909 (WA)
General Practice 208D00000X Yes MD00041919 (WA)

Frequently Asked Questions

NPI 1649279860 is the National Provider Identifier for SHANNON WATERMAN, MD, a General Practice provider located in Tacoma, WA. This NPI was enumerated on July 19, 2005.
SHANNON WATERMAN, MD practices at 11225 PACIFIC AVENUE, PARKLAND CLINIC COMMUNITY HEALTHCARE, Tacoma, WA 98444.

Quick Facts

NPI
1649279860
Type
Individual
Enumerated
Jul 19, 2005
Last Updated
Aug 5, 2009

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