National Provider Identifier

Douglas H Potter MD

Douglas H Potter MD is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 467-7020.

NPI 1578993077Rochester, NYMedical Physician Assistant

Source: public NPPES record, last updated November 19, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1578993077
Provider Type
Organization
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 19, 2013
Last Updated
November 19, 2013

Practice Location

  • 1742 E Ridge RD
  • Rochester, NY 14622-2157

Phone: (585) 467-7020

Authorized Official

Name
Dr. Douglas H Potter
Title
Owner
Credentials
MD
Phone
(585) 467-7020

Specialties

  • Medical Physician Assistant (363AM0700X)

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Full Record
NPI
1578993077
Entity Type
Organization
Organization Name
Douglas H Potter MD
Mailing Street Address
1742 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-2157
Mailing Country
US
Mailing Phone
(585) 467-7020
Mailing Fax
(585) 266-1612
Practice Street Address
1742 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-2157
Practice Country
US
Practice Phone
(585) 467-7020
Practice Fax
(585) 266-1612
Enumeration Date
November 19, 2013
Last Updated
November 19, 2013
Authorized Official Last Name
Potter
Authorized Official First Name
Douglas
Authorized Official Middle Name
H
Authorized Official Title
Owner
Authorized Official Phone
(585) 467-7020
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
MD
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomies
Medical Physician Assistant (363AM0700X)