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Contact Information

JACK POTTS X, MD
221 E INDIANOLA AVE
PHOENIX, AZ85012-2002
 Phone: 602-274-5494
 Fax: 602-264-5566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Forensic Psychiatry

2084F0202X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JACK POTTS X · (Male)

NPI Number 1245348812
Status Active
Credentials MD
Entity Individual
Enumeration date 08/25/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 12185
  • AZ License # AZ12185
Hospital affiliation(s) Not Available
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.

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