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Organization

AMY G PROFFER PA

Active
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Organization

AMY G PROFFER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LONETTA INGRAM (OFFICE MANAGER)
(806) 351-1560
Entity
Organization

Contact information

Practice address
7100 SW 9TH AVE, AMARILLO, TX 79106-1704
(806) 351-1560
(806) 351-0343
Mailing address
PO BOX 50360, AMARILLO, TX 79159-0360
(806) 351-1560
(806) 351-0343

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0872
TX

Other

Enumeration date
05/13/2009
Last updated
05/13/2009
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