Individual
DR. DAVID FITZGERALD ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 COLLEY AVE, NORFOLK, VA 23507-1627
(757) 446-7100
(757) 446-7455
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7100
(757) 446-7455
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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