Individual
JACOB ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 749-2700
Mailing address
355 W 16TH ST STE 5100, INDIANAPOLIS, IN 46202-2274
(317) 396-1300
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
38587
OK
390200000X
Student in an Organized Health Care Education/Training Program
11018403A
IN
Other
Enumeration date
06/11/2015
Last updated
06/09/2022
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