WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC NPI 1083942080

NPI Information

NPI: 1083942080
Provider Name: WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1301 W 3RD ST
GILLETTE, WY
ZIP 82716
Phone: (307) 682-7819
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WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC is a pain clinic center in Gillette, WY. WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC NPI is 1083942080. The provider is registered as an organization entity type.

The provider's business location address is:

1301 W 3RD ST
GILLETTE, WY
ZIP 82716-335
Phone: (307) 682-7819
Fax: (307) 685-8027

The provider's authorized official is Lowell Amiotte .
The authorized official title is President and has the following contact phone number (307) 687-7246.

The enumeration date for this NPI number is 12/2/2009 and was last updated on 6/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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