Individual
JUSTIN JAMES ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 N MAIN ST STE A, RICHFIELD, UT 84701-2069
(435) 893-0580
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
332735-1206
UT
363AM0700X
Medical Physician Assistant
Primary
332735-1206
UT
Other
Enumeration date
10/12/2016
Last updated
04/08/2026
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