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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY POTTASH

Active Sole Proprietor

JEREMY POTTASH is a Internal Medicine healthcare provider located in MIDVALE, Utah. NPI 1497142046 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MIDVALE, UT

Registration Details

NPI Number
1497142046
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2015 (11.285390134092 yrs)
Last Updated
Mar 4, 2022
License
MD208774 (OR)
Sole Proprietor
Yes

Practice Information

Address
7259 S BINGHAM JUNCTION BLVD
MIDVALE, UT, 840474860
Browse UT providers · Browse ZIP 84047
Phone
8019303000
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in MIDVALE, UT

Name Credential NPI
MEHRNOOSH SHAKERI MD, MPH 1386719821
DR. PHILIP NATHANAEL ISENBERG M.D. 1134315872
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.