Dr. Mark K. Potter, MD
Surgery in Saint Helena, CA. Individual provider (NPI-1).
NPI number1689640955
StatusActive
Last updated in NPPESAug 31, 2010
Details
- NPI
- 1689640955
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark K. Potter
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Aug 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | G86920 | CA | Yes |
Practice location
1127 Pope StSuite 106
Saint Helena, CA 94574-1280
Phone 707-967-1970 · Fax 707-967-1972
Mailing address
1127 Pope StSuite 106
Saint Helena, CA 94574-1280
Phone 707-967-1970 · Fax 707-967-1972
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