Individual
VICTOR C ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 GODWIN BLVD, SUITE 101, SUFFOLK, VA 23434-8151
(757) 539-0670
(757) 539-1062
Mailing address
5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 23502-1871
(757) 213-5700
(757) 213-5701
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101241369
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10018054
OPTIMA
VA
05
—
1710970017
—
VA
01
—
P00396160
RAILROAD MEDICARE
VA
Enumeration date
08/23/2005
Last updated
09/22/2014
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