Potter, Derek

Potter, Derek is an individual health care provider with primary practice located at 379 N 500 W Suite 1A, Vernal UT 84078-1956. 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, Derek can be contacted via phone (435) 789-1165.

Contact Information

Primary practice address
379 N 500 W Suite 1A Vernal UT 84078-1956
Phone: (435) 789-1165
Fax: (435) 789-1169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8760465-1206 Utah

Profile Details

NPI number 1679906481
LBN Legal business name Potter, Derek
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated Aug 15th, 2013 - about 13 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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