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Organization
CASPER OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PC
Active
Organization
CASPER OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MARIE SHERIDAN M.D. (PHYSICIAN/OWNER)
(307) 234-6988
Entity
Organization
Contact information
Practice address
150 NORTH MELROSE ST., CASPER, WY 82601-2735
(307) 234-6988
(307) 472-2854
Mailing address
150 NORTH MELROSE ST., CASPER, WY 82601-2735
(307) 234-6988
(307) 472-2854
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134272917
—
WY
01
—
W4371034
RAILROAD MEDICARE
WY
Enumeration date
01/18/2007
Last updated
01/15/2025
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