Alpha Family Medicine, Inc. | |
1202 Cleveland Ave Cheyenne WY 82001-6700 | |
(307) 632-6403 | |
(307) 632-6426 |
Full Name | Alpha Family Medicine, Inc. |
---|---|
Speciality | Family Medicine |
Location | 1202 Cleveland Ave, Cheyenne, Wyoming |
Authorized Official Name and Position | Kathleen M Gates (OWNER) |
Authorized Official Contact | 3076326403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alpha Family Medicine, Inc. 1202 Cleveland Ave Cheyenne WY 82001-6700 Ph: (307) 632-6403 | Alpha Family Medicine, Inc. 1202 Cleveland Ave Cheyenne WY 82001-6700 Ph: (307) 632-6403 |
NPI Number | 1215944301 |
---|---|
Provider Enumeration Date | 08/02/2006 |
Last Update Date | 09/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215944301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5374A (Wyoming) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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