Individual
TAYLOR POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD STUDENT
Contact information
Practice address
2401 CHESSMAN DR NE, RIO RANCHO, NM 87124-6509
(505) 296-2750
Mailing address
2401 CHESSMAN DR NE, RIO RANCHO, NM 87124-6509
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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