Richard W Potts, PHD | |
1157 N 300 W, Provo, UT 84604-6124 | |
(801) 357-7525 | |
Not Available |
Full Name | Richard W Potts |
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Gender | Male |
Speciality | Clinical Psychologist |
Experience | 26 Years |
Location | 1157 N 300 W, Provo, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689695116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 321543-2501 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Richard W Potts, PHD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-7525 | Richard W Potts, PHD 1157 N 300 W, Provo, UT 84604-6124 Ph: (801) 357-7525 |
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