Pain Care Center LLC

NPI #1962937441 in Evanston, Wyoming

Provider Information

NPI Number
1962937441
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
Apr 21, 2017
Last Updated
Jul 26, 2021

Practice Location

Address
170 ARROWHEAD DR
Address 2
SUITE 2
State
Wyoming
ZIP Code
82930-9307
Phone
(307) 212-6270

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Anesthesiology - Pain MedicinePain Medicine

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