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Liana H Proffer, MD

Dermatology, MOHS-Micrographic Surgery in Amarillo, TX. Individual provider (NPI-1).

NPI number1891770046
StatusActive
Last updated in NPPESFeb 10, 2014

Details

NPI
1891770046
Entity type
Individual (NPI-1)
Name
Liana H Proffer
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2005
Last updated
Feb 10, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic SurgeryK6910TXYes

Practice location

1611 Wallace Blvd
Amarillo, TX 79106-1799

Phone 806-354-4900 · Fax 806-352-4987

Mailing address

1611 Wallace Blvd
Amarillo, TX 79106-1799

Phone 806-354-4900 · Fax 806-352-4987

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