Organization
PAIN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JED SHAY M.D. (OWNER/PHYSICIAN)
(307) 212-6270
Entity
Organization
Contact information
Practice address
329 MAIN ST, LANDER, WY 82520-3101
(307) 212-6270
(307) 212-6271
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
(307) 212-6271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
07/26/2021
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