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Individual

DR. SHARON M THEODORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 JAMES WAY STE 150, PISMO BEACH, CA 93449-2874
(805) 876-3050
(805) 876-3052
Mailing address
300 JAMES WAY STE 150, PISMO BEACH, CA 93449-2874
(805) 876-3050
(805) 876-3052

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A91327
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00 A913270
CA
Enumeration date
05/25/2006
Last updated
03/16/2022
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