Gary J Proffett, MD, Apc
Family Medicine, Geriatric Medicine in Oxnard, CA. Organization (NPI-2).
NPI number1427246453
StatusActive
Last updated in NPPESJun 10, 2010
Details
- NPI
- 1427246453
- Entity type
- Organization (NPI-2)
- Legal business name
- Gary J Proffett, MD, Apc
- Organization subpart
- No
- Enumeration date
- Oct 3, 2007
- Last updated
- Jun 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Practice location
1901 Solar DrOxnard, CA 93036-2641
Phone 805-658-2552
Mailing address
46 Calle Del NorteRancho Mirage, CA 92270-5210
Phone 805-658-2552
Authorized official
Gary Proffett
President
8056582552
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