Individual
DR. ANDREA E.S. POTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50926
CO
207Y00000X
Otolaryngology Physician
R8111
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022594
KAISER COMMERCIAL NUMBER
CO
05
—
20075073
—
CO
Enumeration date
06/29/2007
Last updated
05/18/2021
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