Individual provider · Type 1 NPI
Chadley Potter, PA-C
Surgical Physician Assistant · Wynnewood, PA
NPI number
1619332020
Active
Practice location
100 E Lancaster Ave # MSB275
Wynnewood, PA 19096-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA059118 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1619332020
Chadley Potter, PA-C's National Provider Identifier is 1619332020, issued on Dec 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wynnewood, PA. The record was last updated on Mar 26, 2020.