Charles F Potter M.D.

NPI 1023092897 - Pediatrics - 2080N0001X

NPI Details
NPI 1023092897
Gender Male
Enumeration Date 12/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
415 N 9TH ST
SPRINGFIELD IL, 62702-5317, US
Phone (217) 544-6464
Fax (217) 757-6844
Business Location
PO BOX 19639
SPRINGFIELD IL, 62794-9639, US
Phone (217) 545-7578
Fax (217) 545-1884
Toxanomy
Taxonomy Code 2080N0001X
License State
License Number
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According to our database, Charles F Potter M.D. NPI is 1023092897, taxonomy code is 2080N0001X Charles F Potter M.D. physically located at 415 N 9th St, Springfield IL, 62702-5317. NPI Number Charles F Potter M.D. has the Individual type.

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1023092897 NPI number is provided on an as is basis without warranty of any kind. 1023092897 is maintained by the National Plan & Provider Enumeration System. The contents of Charles F Potter M.D. are for informational purposes only.