Individual
BREA SMITH PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1301 GRUNDMAN BLVD STE A, NEBRASKA CITY, NE 68410-3320
(402) 873-4242
Mailing address
1301 GRUNDMAN BLVD STE A, NEBRASKA CITY, NE 68410-3320
(402) 873-4242
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2318
NE
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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