# CULLEN ARCHER, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Utah Center for Women's Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306243803
- **Authorized official:** CULLEN ARCHER M.D. (MANAGING MEMBER)
- **Authorized official phone:** (435) 830-5100

## Contact information

- **Practice address:** 3651 N 100 E, SUITE 375, PROVO, UT 84604-4597
- **Practice address phone:** (435) 830-5100
- **Mailing address:** 992 E BROOKFIELD AVE, ERDA, UT 84074-3304
- **Mailing address phone:** (435) 830-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 7257858-1205 | UT | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 7359472-1205 | UT | — |
| 363A00000X | Physician Assistant | 6814504-1206 | UT | — |

## Other

- **Enumeration date:** 11/26/2014
- **Last updated:** 11/26/2014