Individual
DR. VICTORIA JEAN ALLEN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31663
IA
208800000X
Urology Physician
Primary
31663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190785
—
IA
01
—
31599
WELLMARCK BCBS
IA
Enumeration date
08/09/2005
Last updated
12/18/2007
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