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Shannon J Potter, MD
Obstetrics & Gynecology Physician in Bridgeton, Missouri
NPI 1700106853

Shannon J Potter is a Obstetrics & Gynecology Physician based in Saint Louis, MO. Shannon J Potter practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for Shannon J Potter is 1700106853 and holds a License No. (Missouri).

The current practice location address for Shannon J Potter is 3466 Mckelvey Rd, Bridgeton, MO and can be reached out via phone at 314-463-6950. You can also correspond with Shannon J Potter through the mailing address at 660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO - 63141-8512 (mailing address contact number: 314-448-3791).

Location: 3466 Mckelvey Rd, Bridgeton, MO, 63141-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700106853
Provider Name
Shannon J Potter
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3466 Mckelvey Rd, Bridgeton, MO, 63141-8512
Phone Number
314-463-6950
Fax Number
Provider Enumeration Date
06/10/2010
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3466 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2533
Phone Number
314-463-6950
Fax Number
person
Provider Business Mailing Address Details
Address
3466 Mckelvey Rd
City
Bridgeton
State
Missouri
Zip
63044-2533
Phone Number
314-463-6950
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
2010017998 (Missouri)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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