Individual
AARON RYAN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3320 S 25TH E, IDAHO FALLS, ID 83404-4606
(208) 656-1500
Mailing address
3450 RIVERSTONE CT APT 1233, FORT WORTH, TX 76116-0903
(208) 932-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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