Individual
MARTIN DE LA PRESA POTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 636-2010
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 636-2010
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-44602
KS
207W00000X
Ophthalmology Physician
Primary
35138908
OH
207W00000X
Ophthalmology Physician
53669
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201329490A
—
KS
Enumeration date
03/20/2016
Last updated
06/03/2021
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