Pain Care Center LLC

NPI #1730623984 in Lander, Wyoming

Provider Information

NPI Number: 1730623984
Entity Type: Organization
Organization Name: Pain Care Center LLC
Primary Specialty: Specialist
Enumeration Date: Dec 7, 2016
Last Updated: Jul 26, 2021

Practice Location

Address: 329 MAIN ST
City: Lander
State: Wyoming
ZIP Code: 82520-3101
Phone: (307) 212-6270

Authorized Official

Name: MR. JED SHAY, M.D.
Title: OWNER/PHYSICIAN
Phone: (307) 212-6270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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