Individual
JOHN POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7959 BUSTLETON AVENUE, AMERICAN ACCESS CARE OF PENNSYLVANIA, LLC, PHILADELPHIA, PA 19152
(215) 742-5662
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN689822
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104397620
—
MI
01
—
P00029037
RAILROAD MEDICARE
MI
Enumeration date
04/28/2006
Last updated
12/28/2016
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