Derek Potter, P.A.

NPI #1679906481 in Vernal, Utah

Provider Information

NPI Number: 1679906481
Entity Type: Individual
Name: Derek Potter, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Aug 15, 2013
Last Updated: Aug 15, 2013

Practice Location

Address: 379 N 500 W
Address 2: SUITE 1A
City: Vernal
State: Utah
ZIP Code: 84078-1956
Phone: (435) 789-1165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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