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Zachry Lane Waterson, DO
Family Medicine Physician in Fort Wayne, Indiana
NPI 1902842677

Zachry Lane Waterson is a Family Medicine Physician based in Fort Wayne, IN. Zachry Lane Waterson practices in Fort Wayne, IN and has the professional credentials of DO. The NPI Number for Zachry Lane Waterson is 1902842677 and holds a License No. 0200245A (Indiana).

The current practice location address for Zachry Lane Waterson is 750 Broadway, Fort Wayne, IN and can be reached out via phone at 260-423-2682 and via fax at 260-422-4326.

Location: 750 Broadway, Fort Wayne, IN, 46802-1411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902842677
Provider Name
Zachry Lane Waterson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
750 Broadway, Fort Wayne, IN, 46802-1411
Phone Number
260-423-2682
Fax Number
260-422-4326
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000222712 01 BLUE CROSS
200231240 05 IN
000000015336 01 MPLAN
institution
Provider Business Practice Location Address Details
Address
750 Broadway
City
Fort Wayne
State
Indiana
Zip
46802-1411
Phone Number
260-423-2682
Fax Number
260-422-4326
person
Provider Business Mailing Address Details
Address
750 Broadway
City
Fort Wayne
State
Indiana
Zip
46802-1411
Phone Number
260-423-2682
Fax Number
260-422-4326
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0200245A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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