Individual
DERON V SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2025029077
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME159144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152661A
—
GA
05
—
013602700
—
FL
05
—
165797
—
AL
01
—
511-54132
BC/BS
AL
Enumeration date
10/09/2006
Last updated
07/22/2025
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