Brian J Pottorf, MD
Surgery in Fayetteville, AR. Individual provider (NPI-1).
NPI number1760610307
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1760610307
- Entity type
- Individual (NPI-1)
- Name
- Brian J Pottorf
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2009
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | E-13809 | AR | Yes |
| 208600000X | Surgery | DR.0053920 | CO |
Practice location
3264 N North Hills BlvdFayetteville, AR 72703-4005
Phone 479-521-3300 · Fax 479-521-4705
Mailing address
Po Box 550Lowell, AR 72745-0550
Phone 479-463-7775 · Fax 479-463-7187
Other practice locations
12253 E 104th Pl # 100
Commerce City, CO 80022-2095
Commerce City, CO 80022-2095
Phone 720-282-8005
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