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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