Individual provider · Type 1 NPI
E. Mark Waterman, AH, DC, IDE
Chiropractor · Upland, CA
NPI number
1710006432
Active
Practice location
2440 W. Arrow Route, Suite 5A
Upland, CA 91786-9450
Fax (909) 670-2227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | DC19321 (CO) |
| Chiropractor Primary | 111N00000X | DC19321 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1710006432
E. Mark Waterman, AH, DC, IDE's National Provider Identifier is 1710006432, issued on Mar 28, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Upland, CA. The record was last updated on Sep 30, 2015.