Ms. Shara J. Diers PA
Physician Assistant in Fargo, ND(View on Map)
Full Name
Ms. Shara J Diers PA
NPI Number
1912951427
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/20/2006
Specialties
(Taxonomies)Code
363A00000X
363AM0700X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
North Dakota
License Number
PAC0246
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 5074
1720 UNIVERSITY DR S
City
Sioux Falls
Fargo
State
SD
ND
Postal Code
57117-5074
58103-4940
Country
US
US
Telephone Number
N/A
(701) 280-4140
Identifiers
Identifier
12329
Identifier State
ND
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/06/2021
Provider Address
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