Organization
INTERNAL MEDICINE PHYSICIANS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G SHARP D.O. (PRESIDENT)
(402) 758-5800
Entity
Organization
Contact information
Practice address
17030 LAKESIDE HILLS PLZ, #102, OMAHA, NE 68130-2396
(402) 758-5800
(402) 435-1404
Mailing address
17030 LAKESIDE HILLS PLZ, #102, OMAHA, NE 68130-2396
(402) 758-5800
(402) 435-1404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6136
MEDICARE RAILROAD
NE
Enumeration date
01/05/2007
Last updated
11/23/2020
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