MARK BLAINE POTTER

TACOMA, WA
NPI1992776884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
(Licence: WA  OP60322613)
Additional Taxonomies207RG0100X Internal Medicine Gastroenterology
(Licence: IN  02002013A)
Enumeration Date2006-01-30
Last Update Date2018-05-23
Business Address
DR. MARK BLAINE POTTER D.O.
1112 6TH AVE STE 200
TACOMA, WA 98405
Phone number: 253-272-8664
Mailing Address
DR. MARK BLAINE POTTER D.O.
104 GRANBURG CIR
SAN ANTONIO, TX 78218-3033
Phone number: 210-826-1308