# HUGH D. DEPAOLO M.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A STREET MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740391010
- **Authorized official:** HUGH DANIEL DEPAOLO MD (OWNER)
- **Authorized official phone:** (307) 235-1503

## Contact information

- **Practice address:** 1450 E A ST, CASPER, WY 82601-2239
- **Practice address phone:** (307) 235-1503
- **Practice address fax:** (307) 237-2020
- **Mailing address:** 1450 E A ST, CASPER, WY 82601-2239
- **Mailing address phone:** (307) 235-1503
- **Mailing address fax:** (307) 237-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2883A | WY | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 302275 | BCBS | WY |