NPI 1013604867

Brandon Scott Archibald

Practitioner Athletic Trainer Buena Vista, VA

Practice location

Address: 1 University Hill Dr, Buena Vista, VA 24416-3038
Phone: (801) 669-7583

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126003684 (VA)

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Registry record

NPI: 1013604867
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2023
Record last updated: 21 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.