Organization · Type 2 NPI
Wyoming Pain Medicine LLC
Pain Clinic/Center · Cody, WY
NPI number
1265710628
Active
Practice location
707 Sheridan Ave
Cody, WY 82414-3409
Fax (180) 087-8647
Mailing address
PO Box 2508
Cody, WY 82414-2508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | 8705A (WY) |
Pain Clinic/Center: Definition to come...
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About NPI 1265710628
Wyoming Pain Medicine LLC's National Provider Identifier is 1265710628, issued on Aug 2, 2011. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Cody, WY. The record was last updated on Aug 2, 2011.