Individual
DR. DAVID FITZGERALD ARCHER
Active
Individual
DR. DAVID FITZGERALD ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101040574
VA
207VE0102X
Reproductive Endocrinology Physician
Primary
0101040574
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-012
TRICARE/CHAMPUS
VA
05
—
006227104
—
VA
01
—
05077
NC BC/BS
NC
01
—
081874
ANTHEM
VA
01
—
15021
SENTARA OPTIMA
VA
01
—
415249
UHC/MAMSI
—
05
—
7905077
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
01/25/2006
Last updated
01/28/2015
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