Individual
STACEY POTTISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 BANNOCK ST, DENVER, CO 80204-5126
(303) 504-1700
Mailing address
1871 S WOLFF ST, DENVER, CO 80219-4312
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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