NPI 1164804480

A Wyoming Pain Clinic P C

Organisation Pain Medicine (Anesthesiology) Physician Gillette, WY

Practice location

Address: 3100 W Lakeway Rd Suite 3, Gillette, WY 82718-6372
Phone: (307) 696-1475
Mailing address: 8101 Stone Crest Dr, Gillette, WY 82718-4006

Authorised official

Name: John L. Mansell
Title: Provider
Phone: (307) 696-2996

Registered specialties (3)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 7144A (WY)

Other Anesthesiology providers in Wyoming →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 7144A (WY)

Pain Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP3300X Licence 7144A (WY)

Other Clinic/Center providers in Wyoming →

Registry record

NPI: 1164804480
Entity type: Organization
NPI issued: 23 Jun 2015
Record last updated: 23 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.