Individual
DR. JACK L SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 766-5333
(719) 766-5651
Mailing address
2222 N NEVADA AVE, ATTN: FRONT RANGE EMERGENCY SPECIALISTS, COLORADO SPRINGS, CO 80907-6819
(719) 475-0299
(719) 475-0414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33591
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01335918
—
CO
01
—
930106279
RR MEDICARE
CO
Enumeration date
05/08/2006
Last updated
12/03/2012
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