DR. David Jaeson Potter, OD

NPI #1376036186 in Midvale, Utah

Provider Information

NPI Number: 1376036186
Entity Type: Individual
Name: DR. David Jaeson Potter, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 7, 2018
Last Updated: Jun 7, 2018

Practice Location

Address: 20 W 7200 S
City: Midvale
State: Utah
ZIP Code: 84047-3723
Phone: (801) 561-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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