Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL POTTER, R.T(R)
Active Sole ProprietorRANDALL POTTER, R.T(R) is a Radiologic Technologist healthcare provider located in MCKINLEYVILLE, California. NPI 1518357987 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · MCKINLEYVILLE, CA
Registration Details
- NPI Number
- 1518357987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2015 (11.578088570408 yrs)
- Last Updated
- Jan 23, 2015
- License
-
RHF00104187 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1385 FERNWOOD DR # AMCKINLEYVILLE, CA, 955196402Browse CA providers · Browse ZIP 95519
- Phone
- 8057655347
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.