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Dr. Chad Jeremy Potter, MD
Diagnostic Radiology Physician in Springfield, Missouri
NPI 1972547180

Chad Jeremy Potter is a Diagnostic Radiology Physician based in Springfield, MO and is specialized in Diagnostic Radiology. Chad Jeremy Potter practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Chad Jeremy Potter is 1972547180 and holds a License No. 2006015225 (Missouri).

The current practice location address for Chad Jeremy Potter is 3801 South National, Springfield, MO and can be reached out via phone at 417-269-4056 and via fax at 417-269-5556.

Location: 3801 South National, Springfield, MO, 65804-6530
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Provider Profile Details
NPI Number
1972547180
Provider Name
Chad Jeremy Potter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3801 South National, Springfield, MO, 65804-6530
Phone Number
417-269-4056
Fax Number
417-269-5556
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1256 01 MO BLUE
150984001 05 AR
201291606 05 MO
P00419521 01 MO RRR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3801 South National
City
State
Zip
65807
Phone Number
417-269-4056
Fax Number
417-269-5556
person
Provider Business Mailing Address Details
Address
3801 South National
City
State
Zip
65807
Phone Number
417-269-4056
Fax Number
417-269-5556
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
2006015225 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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