Archer, Sandra V

Archer, Sandra V is an individual health care provider with primary practice located at 1055 N 300 W Suite 110, Provo UT 84604-3344. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Archer, Sandra V can be contacted via phone (801) 357-7377.

Contact Information

Primary practice address
1055 N 300 W Suite 110 Provo UT 84604-3344
Phone: (801) 357-7377
Fax: (801) 357-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L2106 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 7359472-1205 Utah

Profile Details

NPI number 1356319842
LBN Legal business name Archer, Sandra V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356319842 NPPES
Utah MEDICAID 1356319842
Utah MEDICAID 145259102

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