Individual
BRIAN WILLIAM POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT, OTC
Contact information
Practice address
1502 HARRISON AVE, ELKINS, WV 26241-3497
(304) 637-4509
Mailing address
19 WOODY DR, BUCKHANNON, WV 26201-2437
(304) 671-6780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001028
WV
Other
Enumeration date
05/17/2007
Last updated
12/16/2016
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