WYOMING PAIN MEDICINE LLC NPI 1265710628

NPI Information

NPI: 1265710628
Provider Name: WYOMING PAIN MEDICINE LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
707 SHERIDAN AVE
CODY, WY
ZIP 82414
Phone: (307) 213-9713
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WYOMING PAIN MEDICINE LLC is a pain clinic center in Cody, WY. WYOMING PAIN MEDICINE LLC NPI is 1265710628. The provider is registered as an organization entity type.

The provider's business location address is:

707 SHERIDAN AVE
CODY, WY
ZIP 82414-409
Phone: (307) 213-9713
Fax: (180) 087-8647

The provider's authorized official is Bradley Lee Low .
The authorized official title is Medical Director/ceo and has the following contact phone number (307) 213-9713.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/2/2011.

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	8705A	WYOMING	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: 4/28/2024

NPI Synchronization or Removal

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