Individual
DR. DAVID JAESON POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20 W 7200 S, MIDVALE, UT 84047-3723
(801) 561-1300
Mailing address
10464 S JORDAN GTWY UNIT 477, SOUTH JORDAN, UT 84095-5409
(435) 650-5579
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9068966-9934
UT
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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