Individual
DANNY L PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
934 NORTH GASKILL, HUNTSVILLE, AR 72740-1319
(479) 738-5500
(479) 738-1350
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5101
(870) 448-3767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5443
AR
Other
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
Enumeration date
03/20/2006
Last updated
12/07/2018
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