Kent Archibald, O.D

NPI 1851336721 · on the registry since 2006

Practice

Address: 76 Professional Plz
Rexburg, ID 83440
Phone: (208) 356-4585
Fax: (208) 356-4587
Organisation at this address: Kent M Archibald P.A.
Bryce B. Thueson, O.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152WC0802X
152WL0500X
152WP0200X
152WS0006X
152WV0400X
152WX0102X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho