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Organization
PAIN CARE CENTER LLC
Active
Organization
PAIN CARE CENTER LLC
Active
Parent organization
PAIN CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN CARE CENTER LLC
Authorized official
JED SHAY M.D. (PHYSICIAN)
(307) 212-6270
Entity
Organization
Contact information
Practice address
170 ARROWHEAD DR, SUITE 2, EVANSTON, WY 82930-9307
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
(307) 212-6271
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
07/26/2021
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