Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 38003 | AZ |
NPI | 1003084682 |
---|---|
Provider Name | Dr. Sherry Patricia Pottgen |
First Address | Scottsdale, AZ 85255-8658 |
Second Address | Scottsdale, AZ 85255-7439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2008 |
Last Update Date | 26/07/2010 |