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 |
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Address | 3340 E Goldstone Way, Meridian, Idaho |
Phone Number | 2083675170 |
Fax Number | 2083675180 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1417937517 |
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Provider Enumeration Date | 2006-01-17 |
Last Updated Date | 2013-06-04 |
Provider Mailing Address Detail
Address | 3340 E Goldstone Way |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836421026 |
Phone Number | 2083675170 |
Fax Number | 2083675180 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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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 | -- |
Post Comment/ Review Below
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.