Provider Demographics
NPI:1225231533
Name:SCHARF, KEITH RYAN (DO)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:RYAN
Last Name:SCHARF
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Gender:M
Credentials:DO
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Mailing Address - Street 1:COLEMAN PAVILION RM 21111
Mailing Address - Street 2:11175 CAMPUS ST.
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-0001
Mailing Address - Country:US
Mailing Address - Phone:909-558-4286
Mailing Address - Fax:909-558-0236
Practice Address - Street 1:COLEMAN PAVILION RM 21111
Practice Address - Street 2:11175 CAMPUS ST.
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-0001
Practice Address - Country:US
Practice Address - Phone:909-558-4286
Practice Address - Fax:909-558-0236
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2011-01-07
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Provider Licenses
StateLicense IDTaxonomies
CA20A10528208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery