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Fred E. Potts, IV, MD, LLC — NPI 1467704890, Saint Joseph, MO | NPI Central

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NPI 1467704890

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Fred E. Potts, IV, MD, LLC

NPI 1467704890 · Non-Pharmacy Dispensing Site · Saint Joseph, MO

Provider details

NPI number: 1467704890
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Fred E. Potts, IV, MD, LLC
Organization subpart: Yes
Authorized official: Fred Potts, Medical Director(816) 233-3700

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

4906 Frederick Ave

Saint Joseph, MO 64506-3246

Phone: (816) 233-3700

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

2980 N Beverly Glen Cir

Los Angeles, CA 90077-1726

Other names (DBA / former)

Doing business as: Covenant Primary Care

Registry dates

Enumerated: 2012-10-09
Last updated: 2012-10-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.