NPI 1164623765

Regan Jay Archibald, LAC

Practitioner Acupuncturist Salt Lake City, UT

Practice location

Address: 34 S 500 E STE 103, Salt Lake City, UT 84102-1094
Phone: (801) 582-2011
Fax: (801) 359-8478

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 20041684 (UT)

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Registry record

NPI: 1164623765
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 May 2007
Record last updated: 8 Jul 2007

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.