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Individual

DR. LYLE H ARCHIBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4403 HARRISON BLVD STE 1635, OGDEN, UT 84403-3272
(801) 387-7450
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7450

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
731549751205
UT

Other

Enumeration date
08/28/2006
Last updated
02/25/2008
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