Individual
DR. SUSIE K. SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W PHELPS ST, SPRINGFIELD, MO 65802-4273
(417) 575-9603
(417) 575-9577
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203852603
—
MO
Enumeration date
10/19/2006
Last updated
10/01/2013
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