Organization
AMY G PROFFER M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY G PROFFER M. D. (OWNER)
(806) 351-1560
Entity
Organization
Contact information
Practice address
7100 W 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
207LP3000X
Pediatric Anesthesiology Physician
Primary
M0872
TX
Other
Enumeration date
05/29/2007
Last updated
12/03/2007
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