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NPI Profile for DOUGLAS S POTTER in COEUR D'ALENE, ID.
An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1568514396 |
|
| Status | Active | |
| Credentials | CPO | |
| Entity | Individual | |
| Enumeration date | 01/18/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DOUGLAS S POTTER
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DOUGLAS S POTTER, CPO