# JUSTIN J. SHARP, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1710472345
- **Authorized official:** JUSTIN SHARP MD (CEO)
- **Authorized official phone:** (402) 650-3273

## Contact information

- **Practice address:** 2175 ROSALINE AVE, REDDING, CA 96001-2549
- **Practice address phone:** (530) 225-6000
- **Mailing address:** 2709 E SLATEN PARK CIR, SIOUX FALLS, SD 57103-4645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 156626 | CA | Yes |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 06/26/2018