Individual
RANDALL POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T(R)
Contact information
Practice address
1385 FERNWOOD DR # A, MCKINLEYVILLE, CA 95519-6402
(805) 765-5347
Mailing address
1385 FERNWOOD DR # A, MCKINLEYVILLE, CA 95519-6402
(805) 765-5347
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00104187
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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