# GREGORY SHARP MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114493491
- **Authorized official:** DR. GREGORY EVAN SHARP MD (PRESIDENT)
- **Authorized official phone:** (719) 686-8844

## Contact information

- **Practice address:** 335 MANITOU AVE, MANITOU SPRINGS, CO 80829-2537
- **Practice address phone:** (719) 686-8844
- **Practice address fax:** (719) 686-7449
- **Mailing address:** 335 MANITOU AVE, MANITOU SPRINGS, CO 80829-2537
- **Mailing address phone:** (719) 686-8844
- **Mailing address fax:** (719) 686-7449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018