Individual
DR. JACK POTTS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 E INDIANOLA AVE, PHOENIX, AZ 85012-2002
(602) 274-5494
(602) 264-5566
Mailing address
221 E INDIANOLA AVE, PHOENIX, AZ 85012-2002
(602) 274-5494
(602) 264-5566
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
AZ12185
AZ
2084P0800X
Psychiatry Physician
Primary
12185
AZ
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
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