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Organization
CULLEN ARCHER, MD, PLLC
Active
Organization
CULLEN ARCHER, MD, PLLC
Active
Other names
Utah Center for Women's Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CULLEN ARCHER M.D. (MANAGING MEMBER)
(435) 830-5100
Entity
Organization
Contact information
Practice address
3651 N 100 E, SUITE 375, PROVO, UT 84604-4597
(435) 830-5100
Mailing address
992 E BROOKFIELD AVE, ERDA, UT 84074-3304
(435) 830-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7257858-1205
UT
207V00000X
Obstetrics & Gynecology Physician
7359472-1205
UT
363A00000X
Physician Assistant
6814504-1206
UT
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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