Individual
SANDRA KAY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA(ASCP)
Contact information
Practice address
800 E CARPENTER ST, ST. JOHN'S HOSPITAL - DEPARTMENT OF PATHOLOGY, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 757-6032
Mailing address
800 E CARPENTER ST, ST. JOHN'S HOSPITAL - DEPARTMENT OF PATHOLOGY, SPRINGFIELD, IL 62769-0001
(217) 544-6464
(217) 757-6032
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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