Organization
TATUM-MERE HEALTH AND COMMUNITY SERVICES INC.
Active
Other names
Southwest Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN PREISCH (ADMINISTRATOR)
(307) 212-9472
Entity
Organization
Contact information
Practice address
1208 HILLTOP DR STE 203, ROCK SPRINGS, WY 82901-5859
(307) 212-9472
(307) 460-7411
Mailing address
1208 HILLTOP DR STE 203, ROCK SPRINGS, WY 82901-5859
(307) 212-9472
(307) 460-7411
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7706A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124146000
—
WY
Enumeration date
06/01/2011
Last updated
12/29/2020
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