Individual
DEWEY DALE ARCHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 4TH AVE, 150, LAKE CHARLES, LA 70601-7887
(337) 477-7091
(337) 474-4552
Mailing address
2829 4TH AVE, 150, LAKE CHARLES, LA 70601-7887
(337) 477-7091
(337) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
018012
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1372994
—
LA
Enumeration date
01/02/2007
Last updated
03/28/2012
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