NPI 1568514396

Douglas S Potter, CPO

Practitioner Prosthetist Coeur D Alene, ID

Practice location

Address: 2526 E Gunnison Pl, Coeur D Alene, ID 83814-5930
Phone: (208) 765-8561

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in Idaho →

Registry record

NPI: 1568514396
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.