Gregory Brent Archer, PA-C

Physician Assistant · Niceville, FL

Individual Active NPI

NPI number 1114085115

Practice location

550-A Twin Cities Boulevard
Orthopaedic and Spine Surgery Center
Niceville, FL 32578
Phone
(850) 729-1444

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NPI record

NPI
1114085115
Entity type
Individual (Type 1)
Enumeration date
December 4, 2006
Last updated
January 17, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1039420 FL

About Gregory Archer

Gregory Brent Archer, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 550-A Twin Cities Boulevard, Orthopaedic and Spine Surgery Center, Niceville, FL 32578. The NPI number 1114085115 was assigned on December 4, 2006 and the record was last updated on January 17, 2011.

Gregory Archer lists a license in the registry: #1039420 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory Brent Archer, PA-C?

The NPI number is 1114085115.

What is the phone number of Gregory Archer?

The phone number listed for the practice location is (850) 729-1444.

Where is Gregory Archer located?

550-A Twin Cities Boulevard, Orthopaedic and Spine Surgery Center, Niceville, FL 32578.

What is the taxonomy code for Gregory Archer?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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