Provider Demographics
NPI:1235867300
Name:EDWARD A SHARRER DPM PLLC
Entity Type:Organization
Organization Name:EDWARD A SHARRER DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHARRER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:963-671-0780
Mailing Address - Street 1:2501 CRESTWOOD RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7615
Mailing Address - Country:US
Mailing Address - Phone:501-771-4785
Mailing Address - Fax:501-771-4787
Practice Address - Street 1:2501 CRESTWOOD RD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7615
Practice Address - Country:US
Practice Address - Phone:501-771-4785
Practice Address - Fax:501-771-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty