Provider Demographics
NPI:1326017534
Name:SHARP, JOHN R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:SHARP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 772898
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80477-2898
Mailing Address - Country:US
Mailing Address - Phone:970-819-8222
Mailing Address - Fax:970-826-0915
Practice Address - Street 1:1024 CENTRAL PARK DR
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8813
Practice Address - Country:US
Practice Address - Phone:970-879-2327
Practice Address - Fax:970-826-0915
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CO16026207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47087331Medicaid
CO47087331Medicaid
COBS5381429OtherDEA
G48510Medicare UPIN