| NPI | 1740391010 |
|---|---|
| Other Name | A STREET MEDICAL |
| Entity Type | Organization |
| Authorized Contact | HUGH DANIEL DEPAOLO Owner 307-235-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 2883A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |