MALLORY LEIGH POTTEBAUM

OMAHA, NE
NPI1487950945
Former NameMALLORY LEIGH JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  1997)
Enumeration Date2011-02-01
Last Update Date2019-06-25
Business Address
MALLORY LEIGH POTTEBAUM PA-C
505 S. 45TH ST
OMAHA, NE 68198-0001
Phone number: 402-559-5600
Mailing Address
MALLORY LEIGH POTTEBAUM PA-C
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number:
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