Individual
BRANDON JOHN POTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
AIR TEST AND EVALUATION SQUADRON NINE RD 187 RD, EDWARDS AFB, CA 93524-0001
(661) 860-1540
Mailing address
AIR TEST AND EVALUATION SQUADRON NINE RD, 187 NORTH FLIGHTLINE ROAD, EDWARDS AFB, CA 93524-0001
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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