Individual
DR. RICHARD A POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
202 NORTH WEST ST, ODON, IN 47562
(812) 636-7300
(812) 636-8204
Mailing address
PO BOX 760, 1314 EAST WALNUT ST, WASHINGTON, IN 47501
(812) 254-7310
(812) 254-8602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316823
ANTHEM
IN
05
—
100158940
—
IN
01
—
CA5604
MEDICARE RAILROAD GROUP
IN
01
—
P00179048
MEDICARE RAILROAD
IN
Enumeration date
03/24/2006
Last updated
01/02/2021
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