Darrell Jack Potter in Caledonia - Orthopaedic Surgery
Darrell Jack Potter - NPI 1265412605
Darrell Jack Potter is a Orthopaedic Surgery in Caledonia, Michigan. Darrell Jack Potter practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Darrell Jack Potter is 1265412605. The last update date is 2019-11-03.
Darrell Jack Potter's current location address is 6214 Sweet Clover Ln Se, Caledonia, Michigan. You can contact this provider via phone number 3343223489. The mailing address for Darrell Jack Potter is 6214 Sweet Clover Ln Se, Caledonia, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell Jack Potter |
|---|---|
| Address | 6214 Sweet Clover Ln Se, Caledonia, Michigan |
| Phone Number | 3343223489 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265412605 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2019-11-03 |
Provider Mailing Address Detail
| Address | 6214 Sweet Clover Ln Se |
|---|---|
| City | Caledonia |
| State | Michigan (MI) |
| Post Code | 493168291 |
| Phone Number | 3343223489 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 2006-01651 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51041005 | AL | BCBS | |
| 41005 | AL | -- |
Post Comment/ Review Below
What is the Darrell Jack Potter's 1265412605?
The Darrell Jack Potter's NPI (National Provider Identifier) Number is 1265412605. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Darrell Jack Potter is physically located?
The Darrell Jack Potter is situated at the following address: 6214 Sweet Clover Ln Se, Caledonia, MI 493168291.
What is Darrell Jack Potter's area of expertise and its corresponding taxonomy classification?
The Darrell Jack Potter's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265412605 to Darrell Jack Potter?
The Centers for Medicare & Medicaid Services originally issued the 1265412605 to Darrell Jack Potter on 2006-01-20.
When was the Darrell Jack Potter's information last updated?
The Darrell Jack Potter's information was last updated on 2019-11-03.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX