NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1467704890 |   |   |   | FRED E. POTTS, IV, MD, LLC | 2980 N BEVERLY GLEN CIR | LOS ANGELES | CA | 900771726 |
1467728303 |   |   |   | COVENANT OPTIMIZED LIVING LLC | 4910 FREDERICK AVE | SAINT JOSEPH | MO | 645063246 |
1568583888 |   |   |   | FRED E. POTTS IV, M.D. | 3921 SHERMAN AVE | SAINT JOSEPH | MO | 645063649 |
1609920891 | BOOKER | BETH | L |   | 3921 SHERMAN AVE | SAINT JOSEPH | MO | 645063649 |