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NPI Code Detail

MEDICARE: MARJORIE IBETH ARCHILA PA-C

MEDICARE: MARJORIE IBETH ARCHILA PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantDC

General Provider Information

NPI Number : 1730046848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE IBETH ARCHILA PA-C
Provider Business Mailing Address
First Line : 2121 11TH ST NW APT 3
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-8065
Country : US
Telephone Number : 413-777-1961
Fax Number :
Provider Business Practice Location Address
First Line : 3020 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-6865
Country : US
Telephone Number : 202-469-4699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ MARJORIE IBETH ARCHILA PA-C” Practice Location

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