# CASPER OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134272917
- **Authorized official:** DR. SUSAN MARIE SHERIDAN M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (307) 234-6988

## Contact information

- **Practice address:** 150 NORTH MELROSE ST., CASPER, WY 82601-2735
- **Practice address phone:** (307) 234-6988
- **Practice address fax:** (307) 472-2854
- **Mailing address:** 150 NORTH MELROSE ST., CASPER, WY 82601-2735
- **Mailing address phone:** (307) 234-6988
- **Mailing address fax:** (307) 472-2854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | WY | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 01/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134272917 | — | WY |
| 01 | — | W4371034 | RAILROAD MEDICARE | WY |
