Potter, Clinton Wayne

Potter, Clinton Wayne is an individual health care provider with primary practice located at 144 S 500 E , Salt Lake City UT 84102-1907. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Potter, Clinton Wayne can be contacted via phone (801) 463-7415.

Contact Information

Primary practice address
144 S 500 E Salt Lake City UT 84102-1907
Phone: (801) 463-7415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1098530 Pennsylvania

Profile Details

NPI number 1255610168
LBN Legal business name Potter, Clinton Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2011
Last updated Jan 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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