| Brendan Wayne Potter, DC | |
|
2292 W Magee Rd, Tucson, AZ 85742-4301 | |
| (520) 797-2922 | |
| (520) 742-0732 |
| Full Name | Brendan Wayne Potter |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 14 Years |
| Location | 2292 W Magee Rd, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043505563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 8201 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Payson Medical Center | Payson, AZ | Hospital |
| Provider Name | Wellness Group Of Maricopa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043626500 PECOS PAC ID: 5597982439 Enrollment ID: O20140815002371 |
| Provider Name | Payson Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679112759 PECOS PAC ID: 4082044888 Enrollment ID: O20200418000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan Wayne Potter, DC 1925 E Brown Rd, Ste A1, Mesa, AZ 85203-5135 Ph: (480) 322-0934 | Brendan Wayne Potter, DC 2292 W Magee Rd, Tucson, AZ 85742-4301 Ph: (520) 797-2922 |
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