Individual
JOHN PAUL SHERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, GENERAL SURGERY DEPT, SAN JOSE, CA 95128-2604
(408) 885-6060
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G30239
CA
2086S0127X
Trauma Surgery Physician
G30239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G302390
—
CA
Enumeration date
09/14/2006
Last updated
08/31/2007
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