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Organization

PAIN CARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDAL CHET RUGER (MANAGER)
(307) 267-2116
Entity
Organization

Contact information

Practice address
4136 LARAMIE ST, STE A, CHEYENNE, WY 82001-1969
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
01/19/2023
Last updated
04/24/2023
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