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Organization

PAIN CONSULTANTS OF THE ROCKIES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARLAN R RIBNIK M.D. (PRESIDENT)
(307) 633-8100
Entity
Organization

Contact information

Practice address
903 S GREELEY HWY, SUITE A, CHEYENNE, WY 82007-3057
(307) 633-8100
(307) 633-8108
Mailing address
PO BOX 20270, CHEYENNE, WY 82003-7006
(307) 633-8100
(307) 633-8108

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4305A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00653/001
BLUE CROSS BLUE SHIELD
WY
Enumeration date
06/30/2005
Last updated
08/22/2020
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