Individual
PATRICK WAYNE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(189) 458-3100
Mailing address
9670 E 108TH ST S, TULSA, OK 74133-6764
(918) 361-7005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7701
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
02/12/2025
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