Individual
DANIEL POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(907) 602-3280
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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