Cullen Archer, Md, Pllc

NPI #1306243803 in Provo, Utah

Provider Information

NPI Number: 1306243803
Entity Type: Organization
Organization Name: Cullen Archer, Md, Pllc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 26, 2014
Last Updated: Nov 26, 2014

Practice Location

Address: 3651 N 100 E
Address 2: SUITE 375
City: Provo
State: Utah
ZIP Code: 84604-4597
Phone: (435) 830-5100

Authorized Official

Name: CULLEN ARCHER, M.D.
Title: MANAGING MEMBER
Phone: (435) 830-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary
Physician Assistant	363A00000X

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