NPI 1548047525 · live from the CMS NPI Registry
Victoria Archer, PA-C
Physician Assistant in Ardmore, OK. National Provider Identifier 1548047525, active.
NPI record
| NPI | 1548047525 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2410 N Commerce St, Ardmore, OK 73401 |
| Practice phone | 580-226-0812 |
| Enumerated | September 12, 2023 |
| Last updated | September 12, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 4988 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.