Kent M Archibald P.a.

NPI #1447579123 in Rexburg, Idaho

Provider Information

NPI Number: 1447579123
Entity Type: Organization
Organization Name: Kent M Archibald P.a.
Primary Specialty: Optometrist
Enumeration Date: May 20, 2010
Last Updated: Jun 20, 2018

Practice Location

Address: 76 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2047
Phone: (208) 356-4585

Authorized Official

Name: DR. KENT M ARCHIBALD, O.D.
Title: PRESIDENT
Phone: (208) 356-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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