Organization · NPI-2
David Archibald MD PC
Otolaryngology, Otolaryngology/Facial Plastic Surgery · Castle Rock, CO
NPI number1376955245
StatusActive
Last updated in NPPESMar 26, 2021
Details
- NPI
- 1376955245
- Entity type
- Organization (NPI-2)
- Legal business name
- David Archibald MD PC
- Organization subpart
- No
- Enumeration date
- May 27, 2014
- Certification date
- Mar 26, 2021
- Last updated
- Mar 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | DR.0053492 | CO | Yes |
Practice location
2352 Meadows BlvdSuite 290
Castle Rock, CO 80109-8406
Phone 303-268-2222 · Fax 303-268-2223
Mailing address
2352 Meadows BlvdSuite 290
Castle Rock, CO 80109-8406
Phone 303-268-2222 · Fax 303-268-2223
Authorized official
David Jonas Archibald
Owner
5093156657
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