Potter, Mark Blaine

Potter, Mark Blaine is an individual health care provider with primary practice located at 1112 6Th Ave Ste 200 , Tacoma WA 98405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Potter, Mark Blaine can be contacted via phone (253) 272-8664.

Contact Information

Primary practice address
1112 6Th Ave Ste 200 Tacoma WA 98405
Fax: (253) 627-7880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 02002013A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OP60322613 Washington

Profile Details

NPI number 1992776884
LBN Legal business name Potter, Mark Blaine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 23rd, 2018 - about 8 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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