Individual
DR. ROBERT S. PROFFITT
Active
Individual
DR. ROBERT S. PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12878
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-025813800
—
NE
01
—
12878
LICENSE
NE
01
—
180038420
RAILROAD MEDICARE PROVIDER NUMBER
NE
Enumeration date
05/24/2005
Last updated
05/12/2010
Update your record
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