Individual
ADAM BRENT ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
GRADUATING AUG. 2010
WA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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