# SOUTHWEST PAIN MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902180532
- **Authorized official:** DR. BRANDON VASHON MACK MD (PRESIDENT)
- **Authorized official phone:** (307) 362-1444

## Contact information

- **Practice address:** 1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
- **Practice address phone:** (307) 325-8329
- **Mailing address:** PO BOX 3228, ROCK SPRINGS, WY 82902-3228
- **Mailing address phone:** (307) 362-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 7706A | WY | Yes |

## Other

- **Enumeration date:** 09/30/2011
- **Last updated:** 09/30/2011