Most Relevant Information
Provider Data
| NPI Number: | 1003381690 |
| Provider Name: | GAIL FORD PPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 10/10/2018 |
Provider Practice Location
1263 N 15TH ST
LARAMIE
WY
820722343
Practice Location Phone/Fax
| Phone: | 3077458915 |
| Fax: |
Provider Mailing Location
510 W 29TH ST
CHEYENNE
WY
820012760
Provider Mailing Phone/Fax
| Phone: | 3074264728 |
| Fax: |