National Provider Identifier Database

CHAD J POTTER, MD – NPI #1972547180
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

CHAD J POTTER, MD
3801 SOUTH NATIONAL
SPRINGFIELD, MO65807
Phone: 417-269-4056
Fax: 417-269-5556
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for CHAD J POTTER

NPI Number 1972547180
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 09/04/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2006015225
  • AR Medicaid: 150984001
  • MO Medicaid: 201291606
  • MO Other: 1256 BLUE
  • MO Other: P00419521 RRR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHAD J POTTER, MD

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