Individual
JEREMY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11277 VERNON PLACE, SUITE 200, MEADVILLE, PA 16335-3717
(814) 724-1252
(814) 333-8871
Mailing address
11277 VERNON PLACE, SUITE 200, MEADVILLE, PA 16335-3717
(814) 724-1252
(814) 333-8871
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA051202
PA
Other
Enumeration date
02/02/2006
Last updated
05/02/2016
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