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Individual

DR. RICHARD EARNEST SHARPE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(202) 425-7304
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
053352
CO
2085R0202X
Diagnostic Radiology Physician
Primary
60010
AZ
2085R0202X
Diagnostic Radiology Physician
MT194738
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024253
KAISER COMMERCIAL NUMBER
CO
05
21558345
CO
Enumeration date
06/24/2008
Last updated
09/09/2020
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