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Individual

DR. ANDREW L ARCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7700 WASHINGTON VILLAGE DR STE 130, CENTERVILLE, OH 45459-4094
(937) 531-0195
(937) 531-0196
Mailing address
1 PRESTIGE PL, STE 550, MIAMISBURG, OH 45342-3794
(937) 762-1310
(937) 522-8493

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34006981A
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000334026
ANTHEM
OH
01
1702273
UNITED HEALTHCARE
OH
01
220226702
DEPT. OF LABOR WC
OH
05
2319217
OH
01
34006981A
MEDICAL LICENSE
OH
01
3805308
CIGNA
OH
01
421534506
CHAMPUS/TRICARE
OH
01
445020003
CARESOURCE
OH
01
7582436
AETNA
OH
01
98259
NATIONWIDE HEALTH PLAN
OH
01
D06981
HUMANA/CHOICECARE
OH
01
P00133425
RAILROAD MEDICARE
OH
Enumeration date
05/31/2005
Last updated
04/06/2022
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