Doctor Name: | DAVID POTASHNICK |
NPI Number: | 1518095264 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 397 |
Business Practice Address: | 4374 Laura Madison St. Barrow, AK - 997230069 |
Business Phone Number: | 9078520307 |
Business Fax Number: | |
Mailing Address: | Po Box 346, BARROW |
State: | AK |
Postal Code: | 997230346 |
Phone Number: | 9078520307 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | 397 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AK |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |