Individual
AMY MICHELLE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8559
(812) 254-4650
(812) 254-4081
Mailing address
2005 STATE ST, SUITE A, WASHINGTON, IN 47501-8559
(812) 254-4650
(812) 254-4081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02-003403A
IN
207Q00000X
Family Medicine Physician
6429
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001039835
ANTHEM
IN
05
—
200908640
—
IN
Enumeration date
04/20/2007
Last updated
01/27/2017
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