Provider Demographics
NPI:1942326616
Name:SPOONER, SHARON NAU (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:NAU
Last Name:SPOONER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2222 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2304
Mailing Address - Country:US
Mailing Address - Phone:310-453-0471
Mailing Address - Fax:310-453-0473
Practice Address - Street 1:2222 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2304
Practice Address - Country:US
Practice Address - Phone:310-453-0471
Practice Address - Fax:310-453-0473
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG046635207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology