Individual
RONALD L POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1416 W 4TH ST, WATERLOO, IA 50702-2908
(319) 232-7113
Mailing address
1416 W 4TH ST, WATERLOO, IA 50702-2908
(319) 232-7113
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060848
—
IA
Enumeration date
11/01/2006
Last updated
07/08/2007
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