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Individual
DR. DAVID EDMUND POTTER
Active
Individual
DR. DAVID EDMUND POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G8347
TX
302R00000X
Health Maintenance Organization
Primary
G8347
TX
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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