Individual
JERRY DALE POTEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 THOMPSON BLVD, SEDALIA, MO 65301-2241
(660) 826-3700
Mailing address
904 THOMPSON BLVD, SEDALIA, MO 65301-2241
(660) 826-3700
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
MO
237600000X
Audiologist-Hearing Aid Fitter
—
MO
237700000X
Hearing Instrument Specialist
Primary
2002012707
MO
Other
Enumeration date
11/25/2009
Last updated
07/16/2021
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