Individual
DR. DONALD D POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
300 N 5TH ST, PONCA CITY, OK 74601-4539
(580) 762-1291
(580) 762-0379
Mailing address
300 N 5TH ST, PONCA CITY, OK 74601-4539
(580) 762-1291
(580) 762-0379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731137238001
BLUE CROSS
OK
Enumeration date
10/27/2006
Last updated
07/08/2007
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