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Individual

DONALD E POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 156TH AVE NE, REDMOND, WA 98052-5513
(425) 883-5020
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00029873
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8148223
WA
Enumeration date
01/19/2007
Last updated
09/30/2009
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