Individual
MR. SAMUEL WESTON POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
2112 W 3300 S APT E301, WEST HAVEN, UT 84401-9160
(801) 347-1646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7664963-4405
UT
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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