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Individual

DR. JED SHAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2620 COMMERCIAL WAY STE 20, ROCK SPRINGS, WY 82901-4705
(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
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
8748A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132444600
WY
Enumeration date
08/16/2005
Last updated
07/26/2021
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