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1376174417
ROBERT CORY PROFFER
SAINT LOUIS, MO
NPI
1376174417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
ROBERT CORY PROFFER PHYSICIAN ASSISTANT
607 S NEW BALLAS RD STE 2300
SAINT LOUIS, MO 63141-8234
Phone number: 314-931-5990
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Mailing Address
ROBERT CORY PROFFER PHYSICIAN ASSISTANT
355 PEFFER LN
FENTON, MO 63026-2824
Phone number: 314-607-1800
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