Provider Demographics
NPI:1043342215
Name:SCHMELZ, ARCHA ELIZABETH (OTR STATE OF ARKANSA)
Entity type:Individual
Prefix:MRS
First Name:ARCHA
Middle Name:ELIZABETH
Last Name:SCHMELZ
Suffix:
Gender:F
Credentials:OTR STATE OF ARKANSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CORDOBA CTR DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909
Mailing Address - Country:US
Mailing Address - Phone:501-922-1618
Mailing Address - Fax:501-922-9735
Practice Address - Street 1:140 CORDOBA CTR DR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909
Practice Address - Country:US
Practice Address - Phone:501-922-1618
Practice Address - Fax:501-922-9735
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR21022083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine