Provider Demographics
NPI:1417225426
Name:POTT, CHERI M (MD)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:M
Last Name:POTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2345 E THOMAS RD
Mailing Address - Street 2:SUITE # 420
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7848
Mailing Address - Country:US
Mailing Address - Phone:602-955-5700
Mailing Address - Fax:602-955-5701
Practice Address - Street 1:2345 E THOMAS RD
Practice Address - Street 2:SUITE # 420
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7848
Practice Address - Country:US
Practice Address - Phone:602-955-5700
Practice Address - Fax:602-955-5701
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ22940207Q00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine