Sam Clayton Potter
Sam Clayton Potter is a Community/Behavioral Health Agency in Surprise, Arizona. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
16107 N 165th LnSurprise, AZ 85388-1141
Phone: (623) 337-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1720500903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 10, 2017 |
| Last updated in NPPES | July 10, 2017 |
| Mailing address | 16107 N 165th Ln, Surprise, AZ 85388-1141 |
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