Individual
MARK ELNO ARCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1006
(336) 716-2028
(336) 716-4432
Mailing address
DEPARTMENT OF PHYSICIAN ASSISTANT STUDIES, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1006
(336) 716-2028
(336) 716-4432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-01083
NC
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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