Individual
LAURA ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 SUNSET DRIVE NW, MANDAN, ND 58554
(701) 667-4600
(701) 530-3780
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 667-4600
(701) 530-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9721
ND
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
9721
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454485
—
ND
Enumeration date
05/21/2006
Last updated
04/20/2017
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