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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