Organization
KELLY A. SHARRAR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY A SHARRAR MD (PHYSICIAN/OWNER)
(209) 682-5228
Entity
Organization
Contact information
Practice address
4981 INDIAN PEAK RD, MARIPOSA, CA 95338-9373
(209) 682-5228
(209) 682-5227
Mailing address
PO BOX 2301, MARIPOSA, CA 95338-2301
(209) 682-5228
(209) 682-5227
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A93376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A93376
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
09/19/2017
Last updated
03/07/2023
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