| NPI | 1528085347 |
|---|---|
| Professional Name | RANDY DOUGLAS PROFFITT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 16402) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-11-01 |