Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | B668 | NV |
NPI | 1003985490 |
---|---|
Provider Name | Dr. Curtis Robert Potts |
First Address | Reno, NV 89509-4906 |
Second Address | Reno, NV 89509-4942 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 10/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U70109 | (02) | NV |