MR. Douglas S Potter, CPO

NPI #1568514396 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1568514396
Entity Type: Individual
Name: MR. Douglas S Potter, CPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: CPO
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2526 E GUNNISON PL
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-5930
Phone: (208) 765-8561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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