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) 448-2118
Entity
Organization
Contact information
Practice address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
Mailing address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(307) 212-6270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6838910001
—
WY
Enumeration date
12/09/2020
Last updated
12/09/2020
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