Vaun J Archibald in Meridian - Adolescent Medicine

Vaun J Archibald - NPI 1417937517

Vaun J Archibald is a Adolescent Medicine in Meridian, Idaho. Vaun J Archibald practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Vaun J Archibald is 1417937517. The last update date is 2013-06-04.

Vaun J Archibald's current location address is 3340 E Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083675170 and fax number 2083675180. The mailing address for Vaun J Archibald is 3340 E Goldstone Way, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Vaun J Archibald
Address 3340 E Goldstone Way, Meridian, Idaho
Phone Number 2083675170
Fax Number 2083675180
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1417937517
Provider Enumeration Date 2006-01-17
Last Updated Date 2013-06-04

Provider Mailing Address Detail

Address 3340 E Goldstone Way
City Meridian
State Idaho (ID)
Post Code 836421026
Phone Number 2083675170
Fax Number 2083675180

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No O-0449
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
807789500 ID --

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FAQs about Vaun J Archibald

What is the unique provider identifier assigned to Vaun J Archibald?

The Vaun J Archibald has been issued the NPI (National Provider Identifier) 1417937517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Vaun J Archibald?

The Vaun J Archibald is situated at 3340 E Goldstone Way, in the city of Meridian, state of ID, with the zip code 836421026.

What is Vaun J Archibald's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vaun J Archibald is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417937517 to Vaun J Archibald?

The Centers for Medicare & Medicaid Services assigned the 1417937517 to Vaun J Archibald on 2006-01-17.

When was the information pertaining to Vaun J Archibald most recently updated or revised?

The details related to Vaun J Archibald, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-04.

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