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General NPI Number Information
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NPI Number | 1962615682
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Entity Type | Individual
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Provider Name | SHARON BETH DRAGER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2089 VALE RD SUITE 23
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City | SAN PABLO
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State | CA
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Zip | 94806-3847
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Country | US
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Telephone | 510-237-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 2089 VALE RD SUITE 23
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City | SAN PABLO
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State | CA
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Zip | 94806-3847
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Country | US
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Telephone | 510-237-7728
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G31281
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License Number State | CA
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