Individual
DAVID POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MONTEBELLO RD STE 116, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 542-9638
Mailing address
41 MONTEBELLO RD STE 116, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 542-9638
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
41306
CO
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
41306
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44935528
—
CO
01
—
P00031286
RAILROAD MEDICARE
—
05
—
T1106
—
UT
Enumeration date
03/27/2006
Last updated
04/16/2018
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