NPI 1467704890
Fred E. Potts, IV, MD, LLC
Practice location
- Address
- 4906 Frederick Ave, Saint Joseph, MO 64506-3246
- Phone
- (816) 233-3700
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Fred E. Potts
- Title
- Medical Director
- Phone
- (816) 233-3700
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1467704890
- Entity type
- Organization
- NPI issued
- 9 Oct 2012
- Record last updated
- 9 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.