Individual
MARK D SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
628 CALIFORNIA BLVD, STE D, SAN LUIS OBISPO, CA 93401
(805) 545-7881
(805) 548-8785
Mailing address
628 CALIFORNIA BLVD, STE D, SAN LUIS OBISPO, CA 93401
(805) 545-8100
(805) 548-8785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H69829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G698290
—
CA
Enumeration date
08/04/2006
Last updated
02/18/2015
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