Healthcare Provider Details

I. General information

NPI: 1174866388
Provider Name (Legal Business Name): SCOTT SHERR MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2013
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BERRY ST SUITE 4801
SAN FRANCISCO CA
94107-5705
US

IV. Provider business mailing address

185 BERRY ST SUITE 4801
SAN FRANCISCO CA
94107-5705
US

V. Phone/Fax

Practice location:
  • Phone: 415-513-5813
  • Fax: 415-520-6881
Mailing address:
  • Phone: 415-513-5813
  • Fax: 415-520-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA119048
License Number StateCA

VIII. Authorized Official

Name: DR. SCOTT SHERR
Title or Position: PRESIDENT
Credential: MD
Phone: 415-513-5813