Wyoming Pain Medicine LLC

NPI #1265710628 in Cody, Wyoming

Provider Information

NPI Number: 1265710628
Entity Type: Organization
Organization Name: Wyoming Pain Medicine LLC
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Aug 2, 2011
Last Updated: Aug 2, 2011

Practice Location

Address: 707 SHERIDAN AVE
City: Cody
State: Wyoming
ZIP Code: 82414-3409
Phone: (307) 213-9713

Authorized Official

Name: DR. BRADLEY LEE LOW, D.O.
Title: MEDICAL DIRECTOR/CEO
Phone: (307) 213-9713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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