Jeffery Lynn Potthoff ATC, LAT, CST

NPI 1386791903 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1386791903
Gender Male
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
540 MADISON OAK DR
SUITE 690
SAN ANTONIO TX, 78258-3943, US
Phone (210) 491-3434
Fax (210) 496-7746
Business Location
515 SPRINGWOOD LN
ADKINS TX, 78101-2711, US
Phone (830) 217-4472
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Texas
License Number AT0624
Remove 1386791903 NPI Number
 

According to our database, Mr. Jeffery Lynn Potthoff ATC, LAT, CST NPI is 1386791903, taxonomy code is 2255A2300X and license number is AT0624, license state is located at Texas. Jeffery Lynn Potthoff ATC, LAT, CST physically located at 540 Madison Oak Dr, San Antonio TX, 78258-3943. NPI Number Jeffery Lynn Potthoff ATC, LAT, CST has the Individual type.

Sponsored links

1386791903 NPI number is provided on an as is basis without warranty of any kind. 1386791903 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Lynn Potthoff ATC, LAT, CST are for informational purposes only.