Individual
DR. BRIAN CURTIS POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2003-0618
NM
2085R0202X
Diagnostic Radiology Physician
34785
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0282988
—
IA
05
—
1282988
—
IA
01
—
19370
BLUE CROSS BLUE SHIELD
IA
05
—
2282988
—
IA
01
—
33508
BLUE CROSS BLUE SHIELD
IA
01
—
33509
BLUE CROSS BLUE SHIELD
IA
01
—
36841
BLUE CROSS BLUE SHIELD
IA
05
—
63383560
—
NM
Enumeration date
05/24/2006
Last updated
03/12/2014
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