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NPI Code Detail

MEDICARE: DR. JULIE KATHERINE POTTER D.C. PHD

MEDICARE:  DR. JULIE KATHERINE POTTER  D.C. PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor7668IA

General Provider Information

NPI Number : 1346556479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE KATHERINE POTTER D.C. PHD
Provider Business Mailing Address
First Line : 2461 10TH ST STE 11
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1201
Country : US
Telephone Number : 319-351-4090
Fax Number :
Provider Business Practice Location Address
First Line : 2461 10TH ST STE 11
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-1201
Country : US
Telephone Number : 319-351-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2010
Last Update Date : 02/25/2020

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Directions to “ DR. JULIE KATHERINE POTTER D.C. PHD” Practice Location

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