Individual
JUSTIN JAMES SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
18454
ND
2080N0001X
Neonatal-Perinatal Medicine Physician
8313
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702740
—
SD
05
—
6702742
—
SD
Enumeration date
04/22/2007
Last updated
07/01/2022
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