Southwest Pain Management INC
NPI #1902180532 in Rock Springs, Wyoming
Provider Information
- NPI Number
- 1902180532
- Entity Type
- Organization
- Organization Name
- Southwest Pain Management INC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Sep 30, 2011
- Last Updated
- Sep 30, 2011
Practice Location
- Address
- 1200 COLLEGE DR
- City
- Rock Springs
- State
- Wyoming
- ZIP Code
- 82901-5868
- Phone
- (307) 325-8329
Authorized Official
- Name
- DR. BRANDON VASHON MACK, MD
- Title
- PRESIDENT
- Phone
- (307) 362-1444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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