Individual
PAUL D DEARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S BURMA AVE, 2ND FLOOR, GILLETTE, WY 82716-3426
(307) 687-0030
(307) 687-0044
Mailing address
PO BOX 3799, GILLETTE, WY 82717-3799
(307) 687-0030
(307) 687-0044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6966A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313290
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
07/10/2006
Last updated
10/10/2007
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