Orie R Potter in Oquawka - Physician Assistant

Orie R Potter - NPI 1477514958

Orie R Potter is a Physician Assistant in Oquawka, Illinois. Orie R Potter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Orie R Potter is 1477514958. The last update date is 2008-07-15.

Orie R Potter's current location address is Po Box 198, Oquawka, Illinois. You can contact this provider via phone number 3098672202 and fax number 3098673205. The mailing address for Orie R Potter is Po Box 198, Oquawka, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Orie R Potter
Address Po Box 198, Oquawka, Illinois
Phone Number 3098672202
Fax Number 3098673205
Sole Proprietor N
Credentials PAC MPAS

NPI Number Detail

NPI Number 1477514958
Provider Enumeration Date 2006-04-01
Last Updated Date 2008-07-15

Provider Mailing Address Detail

Address Po Box 198
City Oquawka
State Illinois (IL)
Post Code 614690198
Phone Number 3098672202
Fax Number 3098673205

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85000614
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
371352599001 IL --

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FAQs about Orie R Potter

What is the unique identification code assigned to Orie R Potter by the Centers for Medicare & Medicaid Services?

The Orie R Potter has been issued the NPI (National Provider Identifier) 1477514958. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Orie R Potter's facilities are geographically located?

The facilities of Orie R Potter are physically situated at the following location: Po Box 198, Oquawka, IL, 614690198.

What is Orie R Potter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Orie R Potter is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did the Orie R Potter receive its 1477514958?

The Orie R Potter was issued its 1477514958 on 2006-04-01, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Orie R Potter last refreshed?

The information related to the Orie R Potter, including its address, specialty, and other relevant details, was last updated on 2008-07-15.

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