OrganizationActive
A Wyoming Pain Clinic P C
NPI 1164804480 · Pain Medicine (Anesthesiology) Physician · Gillette, WY
Provider details
- NPI number
- 1164804480
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Mansell, Provider(307) 696-2996
- License
- 7144A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
3100 W Lakeway Rd
Suite 3
Gillette, WY 82718-6372
Phone: (307) 696-1475
Approximate (ZIP-level) locationGet directions
Mailing address
8101 Stone Crest Dr
Gillette, WY 82718-4006
Other names (DBA / former)
- Doing business as
- Powder River Pain Clinic
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2024-01-23
- Certified
- 2024-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.