Individual
ROBERT SCOTT POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16871 CIMARRON PASS, NOBLESVILLE, IN 46060-4292
(317) 845-6256
Mailing address
16871 CIMARRON PASS, NOBLESVILLE, IN 46060-4292
(317) 845-6256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035268
IN
207R00000X
Internal Medicine Physician
01035268
IN
208D00000X
General Practice Physician
01035268A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067680
—
IN
Enumeration date
10/03/2006
Last updated
09/19/2024
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