Individual
DR. STEPHANIE LYNN COURSON POTHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12129 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8287
(515) 400-3550
(515) 400-3551
Mailing address
12129 UNIVERSITY AVE STE 200, CLIVE, IA 50325-8287
(515) 400-3550
(515) 400-3551
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO-03795
IA
Other
Enumeration date
04/02/2007
Last updated
09/13/2021
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