Individual
DAVID THOMAS POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0060488
MD
2084P0800X
Psychiatry Physician
Primary
MD00046532
WA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
MD00046532
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396759197
—
WA
05
—
402429000
—
MD
Enumeration date
07/28/2006
Last updated
05/16/2018
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