Search › Missouri › 363L00000X
Mark Proffer, ACNPC-AG
NPI 1063259646 · on the registry since 2024
Practice
- Address
- 24 S Mount Auburn Rd
Cape Girardeau, MO 63703 - Phone
- (573) 331-5544
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
363LA2200X - Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri