Search › Iowa › 207RG0100X

Benjamin Pottebaum, D.O

NPI 1528419066 · on the registry since 2016

Practice

Address
1378 Nw 124th St Ste 200
Clive, IA 50325
Phone
(515) 288-6097
Organisation at this address
Iowa Endoscopy Center, Inc.
Iowa Digestive Disease Center P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 411 West 14th Street, Pueblo, CO

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207R00000X
207RG0100X
Licence states on file
CO, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa