Individual
HEIDI KAMBROD ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46165 WESTLAKE DR, STE 100, POTOMAC FALLS, VA 20165-5872
(703) 433-1700
(703) 433-9386
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 433-1700
(703) 433-9386
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101050030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06800122
—
VA
Enumeration date
09/09/2005
Last updated
04/08/2008
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