Organization
HUGH D. DEPAOLO M.D.P.C.
Active
Other names
A STREET MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH DANIEL DEPAOLO MD (OWNER)
(307) 235-1503
Entity
Organization
Contact information
Practice address
1450 E A ST, CASPER, WY 82601-2239
(307) 235-1503
(307) 237-2020
Mailing address
1450 E A ST, CASPER, WY 82601-2239
(307) 235-1503
(307) 237-2020
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2883A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302275
BCBS
WY
Enumeration date
08/31/2006
Last updated
08/22/2020
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