Individual
SANDRA V ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1055 N 300 W, SUITE 110, PROVO, UT 84604-3344
(801) 357-7377
(801) 357-7377
Mailing address
1055 N 300 W, SUITE 110, PROVO, UT 84604-3344
(801) 357-7377
(801) 357-7377
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7359472-1205
UT
207V00000X
Obstetrics & Gynecology Physician
L2106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356319842
—
UT
05
—
145259102
—
TX
Enumeration date
03/09/2006
Last updated
07/18/2014
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