Individual
DR. JONATHAN MATTHEW SHARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1641 E POLSTON AVE STE 102, POST FALLS, ID 83854-7852
(208) 755-2804
(208) 765-0277
Mailing address
3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID 83815-8362
(208) 755-2804
(208) 765-0277
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
O-1379
ID
2085R0001X
Radiation Oncology Physician
OP61043781
WA
Other
Enumeration date
05/01/2015
Last updated
08/25/2023
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