Most Relevant Information
Provider Data
| NPI Number: | 1003039017 |
| Provider Name: | DAN J ARCHER M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2176 |
Most Important Dates
| Enumeration Date: | 04/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2801 E MEMORIAL RD STE 102
EDMOND
OK
730136470
Practice Location Phone/Fax
| Phone: | 4057600242 |
| Fax: |
Provider Mailing Location
2801 E MEMORIAL RD STE 102
EDMOND
OK
730136470
Provider Mailing Phone/Fax
| Phone: | 4057600242 |
| Fax: |