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CLINTON WAYNE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
144 S 500 E, SALT LAKE CITY, UT 84102-1907
(801) 463-7415
Mailing address
2257 NORTH OAK HALLOW DRIVE, LAYTON, UT 84040
(801) 660-7917

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1098530
PA

Other

Enumeration date
08/09/2011
Last updated
01/12/2015
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