Archibald, Randall Lynn
Archibald, Randall Lynn is an individual health care provider with primary practice located at 3540 S 4000 W Ste 340 , West Valley City UT 84120-3287. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Archibald, Randall Lynn can be contacted via phone (801) 969-0200.Contact Information
Primary practice address
3540 S 4000 W Ste 340
West Valley City UT 84120-3287
Phone: (801) 969-0200
Fax: (801) 969-0393
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3133301206 | Utah |
Profile Details
NPI number | 1396752119 |
---|---|
LBN Legal business name | Archibald, Randall Lynn |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Oct 1st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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