Organization
WYOMING INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOWELL AMIOTTE (PRESIDENT)
(307) 687-7246
Entity
Organization
Contact information
Practice address
1301 W 3RD ST, GILLETTE, WY 82716-3335
(307) 682-7819
(307) 685-8027
Mailing address
1301 W THIRD STREET, GILLETTE, WY 82716
(307) 687-7246
(307) 685-8027
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
06/08/2015
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