Pain Care Center LLC

NPI #1891390118 in Jackson, Wyoming

Provider Information

NPI Number
1891390118
Entity Type
Organization
Organization Name
Pain Care Center LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PAIN CARE CENTER LLC
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
Dec 3, 2020
Last Updated
Dec 3, 2020

Practice Location

Address
945 W BROADWAY AVE APT 202
State
Wyoming
ZIP Code
83001-8217
Phone
(307) 212-6270

Authorized Official

Name
RANDAL CHET RUGER
Title
MANAGING PARTNER
Phone
(307) 267-2116

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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