Individual
CHARLES R. POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 W HIGH ST, SUITE 460, LIMA, OH 45801-3990
(419) 226-4300
(419) 226-4305
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.127414
OH
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
R6288
MO
Other
Enumeration date
10/02/2006
Last updated
10/27/2015
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