Individual
CARLY POTCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOSPITAL WAY, BUTLER, PA 16001-4670
(724) 285-0823
(724) 285-0879
Mailing address
PO BOX 1549, BUTLER, PA 16003-1549
(724) 285-0823
(724) 285-0879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
01/31/2020
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