Individual provider · Type 1 NPI
Chad Jeremy Potter, MD
Diagnostic Radiology Physician · Springfield, MO
NPI number
1972547180
Active
Practice location
3801 South National
Springfield, MO 65807
Fax (417) 269-5556
Mailing address
1550 E Republic Rd
Springfield, MO 65804-6530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 2006015225 (MO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1972547180
Chad Jeremy Potter, MD's National Provider Identifier is 1972547180, issued on Jun 16, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, MO. The record was last updated on Sep 4, 2009.