Individual
W MARK POTAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00023322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071123
LABOR & INDUSTRIES
WA
01
—
180021811
RAILROAD MEDICARE
—
05
—
8307290
—
WA
01
—
PO3997
REGENCE HEALTHCARE
—
Enumeration date
12/22/2005
Last updated
08/21/2008
Update your record
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