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1972547180
CHAD JEREMY POTTER
SPRINGFIELD, MO
NPI
1972547180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO 2006015225)
Enumeration Date
2006-06-16
Last Update Date
2009-09-04
Business Address
Dr. CHAD JEREMY POTTER MD
3801 SOUTH NATIONAL
SPRINGFIELD, MO 65807
Phone number: 417-269-4056
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Mailing Address
Dr. CHAD JEREMY POTTER MD
1550 E REPUBLIC RD
SPRINGFIELD, MO 65804-6530
Phone number: 417-889-6102
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