Healthcare Provider Details

I. General information

NPI: 1235867300
Provider Name (Legal Business Name): EDWARD A SHARRER DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CRESTWOOD RD STE 101
NORTH LITTLE ROCK AR
72116-7615
US

IV. Provider business mailing address

2501 CRESTWOOD RD STE 101
NORTH LITTLE ROCK AR
72116-7615
US

V. Phone/Fax

Practice location:
  • Phone: 501-771-4785
  • Fax: 501-771-4787
Mailing address:
  • Phone: 501-771-4785
  • Fax: 501-771-4787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: EDWARD A SHARRER
Title or Position: OWNER
Credential: DPM
Phone: 963-671-0780