FRED E. POTTS, IV, MD, LLC

SAINT JOSEPH, MO
NPI1467704890
Doing Business AsCOVENANT PRIMARY CARE
Entity TypeOrganization
Authorized ContactFRED E. POTTS
Medical Director
816-233-3700
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
FRED E. POTTS, IV, MD, LLC
4906 FREDERICK AVE
SAINT JOSEPH, MO 64506-3246
Phone number: 816-233-3700
Mailing Address
FRED E. POTTS, IV, MD, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809