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Search › Missouri › 163W00000X

Timothy Potts

NPI 1568938512 · on the registry since 2018 · sole proprietor

Practice

Address
1430 Olive St
Saint Louis, MO 63103
Phone
(314) 678-3344
Organisation at this address
Affinia Healthcare
Genoa Healthcare Llc
Bjc Behavioral Health
Gateway Foundation, Inc.
Gateway Foundation, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
607

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-17

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 Missouri