Potter, David

Potter, David is an individual health care provider with primary practice located at 41 Montebello Rd Ste 116 , Pueblo CO 81001-1366. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Potter, David can be contacted via phone (719) 545-2746.

Contact Information

Primary practice address
41 Montebello Rd Ste 116 Pueblo CO 81001-1366
Phone: (719) 545-2746
Fax: (719) 542-9638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41306 Colorado
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 41306 Colorado

Profile Details

NPI number 1245290790
LBN Legal business name Potter, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245290790 NPPES
Utah MEDICAID T1106
Utah MEDICAID 44935528
Utah Other P00031286

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