DEREK POTTER

VERNAL, UT
NPI1679906481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8760465-1206)
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
-- DEREK POTTER P.A.
379 N 500 W SUITE 1A
VERNAL, UT 84078-1956
Phone number: 435-789-1165
Mailing Address
-- DEREK POTTER P.A.
379 N 500 W SUITE 1A
VERNAL, UT 84078-1956
Phone number: 435-789-1165
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