Individual
MR. JOHN BRIAN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-2850
Mailing address
4949 W 227TH ST, FAIRVIEW PARK, OH 44126-2412
(440) 241-4313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004486
OH
363AM0700X
Medical Physician Assistant
Primary
50.004486
OH
Other
Enumeration date
10/17/2015
Last updated
10/17/2015
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