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Individual

DR. GRAEME C.M. ARCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 SE 13TH CT, BENTONVILLE, AR 72712-7857
(479) 273-9056
(479) 273-6937
Mailing address
1000 SE 13TH CT, BENTONVILLE, AR 72712-7857
(479) 273-9056
(479) 273-6937

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6060
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179420001
AR
Enumeration date
06/05/2007
Last updated
12/13/2011
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