Organization
PAIN CARE CENTER, LLC
Active
Other names
Pain Care Centers
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL CHET RUGER (MANAGING PARTNER)
(307) 267-2116
Entity
Organization
Contact information
Practice address
800 COFFEEN AVE STE B, SHERIDAN, WY 82801-5352
(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
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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