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Individual

DR. JOHN LESLIE PROFFITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 OAK LAWN AVE, SUITE 650, DALLAS, TX 75219-4308
(214) 526-8100
Mailing address
3500 OAK LAWN AVE, SUITE 650, DALLAS, TX 75219-4308
(214) 526-8100

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0421188
KS
207N00000X
Dermatology Physician
Primary
G5850
TX

Other

Enumeration date
07/10/2006
Last updated
06/13/2011
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