Individual
MR. BRYAN S POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 OREGON ST, HIAWATHA, KS 66434-2231
(785) 742-2464
(785) 742-2552
Mailing address
307 S 6TH ST, HIAWATHA, KS 66434-2511
(785) 742-3559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2166
KS
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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