Individual
DR. CYNTHIA L ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1335 ARENA RD UNIT 1, JACKSON, WY 83001-8919
(602) 697-7790
(602) 697-7790
Mailing address
PO BOX 7422, JACKSON, WY 83002-7422
(602) 697-7790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14098
NV
207R00000X
Internal Medicine Physician
31998
AZ
207R00000X
Internal Medicine Physician
8583747-1205
UT
207R00000X
Internal Medicine Physician
Primary
9430A
WY
207R00000X
Internal Medicine Physician
DR.0055895
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948680
—
AZ
01
—
AZ0784730
BCBS
AZ
Enumeration date
10/05/2006
Last updated
07/21/2022
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