Individual
J CLEVELAND SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109-5900
(505) 262-3233
(505) 262-3191
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-3233
(505) 262-3191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80297
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32938
—
NM
Enumeration date
07/26/2006
Last updated
09/29/2010
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