Individual
DR. PETER J SHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34806
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060070374
MEDICARE RAILROAD
—
05
—
1279984
—
IA
Enumeration date
01/10/2006
Last updated
08/19/2024
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