Individual
SADIE MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 W 3RD ST, ELK CITY, OK 73644-5201
(580) 303-9293
Mailing address
10982 N 1970 RD, ELK CITY, OK 73644-6423
(580) 821-0626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103663
OK
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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