Individual
DANIEL ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11522 S HUDSON AVE, TULSA, OK 74137-8104
(918) 960-1393
Mailing address
11522 S HUDSON AVE, TULSA, OK 74137-8104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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