Gregory Brent Archer, PA-C

NPI #1114085115 in Niceville, Florida

Provider Information

NPI Number: 1114085115
Entity Type: Individual
Name: Gregory Brent Archer, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 4, 2006
Last Updated: Jan 17, 2011

Practice Location

Address: 550-A TWIN CITIES BOULEVARD
Address 2: ORTHOPAEDIC AND SPINE SURGERY CENTER
City: Niceville
State: Florida
ZIP Code: 32578
Phone: (850) 729-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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