Individual
ARCHIE D ENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4172 INDIAN RIPPLE RD STE A, BEAVERCREEK, OH 45440-3286
(937) 431-3779
(937) 431-3776
Mailing address
4172 INDIAN RIPPLE RD A, BEAVERCREEK, OH 45440-3286
(937) 431-3779
(937) 431-3776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35065803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079514
—
OH
05
—
0360899251
—
IL
Enumeration date
07/20/2005
Last updated
01/12/2021
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