Provider Demographics
NPI:1063693372
Name:BELL, GIGI (ND PHD)
Entity type:Individual
Prefix:
First Name:GIGI
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:ND PHD
Other - Prefix:
Other - First Name:GIGI
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND PHD
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:CLEO SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:73729
Mailing Address - Country:US
Mailing Address - Phone:580-747-5104
Mailing Address - Fax:
Practice Address - Street 1:108 S SQUARE ST
Practice Address - Street 2:
Practice Address - City:CLEO SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:73729
Practice Address - Country:US
Practice Address - Phone:580-747-5104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK78902702175F00000X
175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath