Individual
DAVID JONAS ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2352 MEADOWS BLVD, SUITE 290, CASTLE ROCK, CO 80109-8406
(303) 268-2222
Mailing address
2352 MEADOWS BLVD, SUITE 290, CASTLE ROCK, CO 80109-8406
(303) 268-2222
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
49658
MN
207Y00000X
Otolaryngology Physician
MD60286714
WA
207Y00000X
Otolaryngology Physician
ME103522
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
DR.0053492
CO
207YS0123X
Facial Plastic Surgery Physician
MD60286714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003610900
—
FL
01
—
14F11
BLUE CROSS BLUE SHIELD
FL
05
—
205455000
—
MN
05
—
32778856
—
CO
Enumeration date
04/14/2007
Last updated
12/04/2014
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