Larry R Potts, MD
Emergency Medicine in Upland, CA. Individual provider (NPI-1).
NPI number1679596191
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679596191
- Entity type
- Individual (NPI-1)
- Name
- Larry R Potts
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | G27602 | CA | Yes |
Practice location
999 San Bernardino RdUpland, CA 91786-4920
Phone 909-985-2811 · Fax 818-587-2493
Mailing address
Po Box 4419Woodland Hills, CA 91365-4419
Phone 818-340-9988 · Fax 818-587-2493
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