| 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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