Organization
GALLARDO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYATT POWELL-GALLARDO RN,BSN (CASE MANAGER)
(307) 761-4719
Entity
Organization
Contact information
Practice address
920 GETTYSBURG DR, CHEYENNE, WY 82001-7434
(307) 761-4749
Mailing address
920 GETTYSBURG DR, CHEYENNE, WY 82001-7434
(307) 761-4749
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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