Organization
RUBY DOME PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WING CRNA (PRESIDENT)
(775) 340-4029
Entity
Organization
Contact information
Practice address
2001 ERRECART BLVD, ELKO, NV 89801-8333
(775) 738-5151
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3621
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NV
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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