Individual
TIMOTHY BRIAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1875 W FRYE RD STE 300, CHANDLER, AZ 85224-6184
(480) 917-5600
(602) 294-4497
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 406-3008
(602) 406-6108
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44123802
—
AZ
Enumeration date
05/25/2006
Last updated
12/12/2018
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