CLINTON WAYNE POTTER

SALT LAKE CITY, UT
NPI1255610168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  1098530)
Enumeration Date2011-08-09
Last Update Date2015-01-12
Business Address
-- CLINTON WAYNE POTTER PA-C
144 S 500 E
SALT LAKE CITY, UT 84102-1907
Phone number: 801-463-7415
Mailing Address
-- CLINTON WAYNE POTTER PA-C
2257 NORTH OAK HALLOW DRIVE
LAYTON, UT 84040
Phone number: 801-660-7917
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