Individual
DUSTIN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Mailing address
1909 DECLARATION DR, PRICE, UT 84501-7409
(801) 917-0540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7534637-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
7534637-4406
UT
Other
Enumeration date
03/18/2020
Last updated
02/21/2022
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