Organization
GARY J PROFFETT, MD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY PROFFETT MD (PRESIDENT)
(805) 658-2552
Entity
Organization
Contact information
Practice address
1901 SOLAR DR, OXNARD, CA 93036-2641
(805) 658-2552
Mailing address
46 CALLE DEL NORTE, RANCHO MIRAGE, CA 92270-5210
(805) 658-2552
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
06/10/2010
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