Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Wyoming Pain Clinic P C

Organization Anesthesiology Physician · NPI 1164804480

A Wyoming Pain Clinic P C is an Anesthesiology Physician in Gillette, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.

Licensed in
WY
In the registry since
2015
Specialties on file
3

Practice location Address checks out

3100 W Lakeway Rd Ste 3
Gillette, WY 82718-6372
Phone: (307) 696-1475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 7144A (WY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 7144A (WY)
Pain Clinic/Center Taxonomy 261QP3300X · Licence 7144A (WY)

Record details

NPI number1164804480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Mansell — Provider · (307) 696-2996
Other names Powder River Pain Clinic
NPI enumeratedJune 23, 2015
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address8101 Stone Crest Dr, Gillette, WY 82718-4006

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