Individual
GREGORY A. POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
851 E 5TH ST, SUITE 328, WASHINGTON, MO 63090-3135
(636) 239-1101
(636) 239-0250
Mailing address
851 E 5TH ST, SUITE 328, WASHINGTON, MO 63090-3135
(636) 239-1101
(636) 239-0250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R7F05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160059505
RAILROAD MEDICARE
MO
05
—
1992770887
—
MO
Enumeration date
02/22/2006
Last updated
12/30/2014
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