MR. Orie R Potter, PAC MPAS

NPI #1477514958 in Macomb, Illinois

Provider Information

NPI Number: 1477514958
Entity Type: Individual
Name: MR. Orie R Potter, PAC MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC MPAS
Enumeration Date: Apr 1, 2006
Last Updated: Feb 13, 2024

Practice Location

Address: 1400 E CARROLL
City: Macomb
State: Illinois
ZIP Code: 61455
Phone: (309) 833-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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