CHARLES R. POTTER, M.D., L.L.C.

DECATUR, IL
NPI1538254727
Entity TypeOrganization
Authorized ContactCHARLES R POTTER
Owner
217-422-1199
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  036-065056)
Enumeration Date2006-10-04
Last Update Date2008-06-19
Business Address
CHARLES R. POTTER, M.D., L.L.C.
1770 E LAKE SHORE DR SUITE 306
DECATUR, IL 62521-3832
Phone number: 217-422-1199
Mailing Address
CHARLES R. POTTER, M.D., L.L.C.
1770 E LAKE SHORE DR SUITE 306
DECATUR, IL 62521-3832
Phone number: 217-422-1199
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