# DANNY L PROFFITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306805379
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C-5443 | AR | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 12/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106373001 | — | AR |
| 01 | — | 1160868 | FIRST HEALTH | AR |
| 01 | — | 120653 | UNITED HEALTH CARE | AR |
| 01 | — | 13800000001 | QUAL CHOICE | AR |
| 01 | — | 341358 | HEALTH LINK | AR |
| 01 | — | 5046 | CIGNA | AR |
| 01 | — | 56362 | BCBS | AR |
| 01 | — | 5758420 | AETNA | AR |
| 01 | — | 80118147 | RR MCR | AR |
