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Individual
DOUGLAS ALAN POTTS JR.
Active
Individual
DOUGLAS ALAN POTTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35138895
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
13293976-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35138895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0457149
—
OH
Enumeration date
04/03/2017
Last updated
03/06/2024
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