Individual
WILLIAM DAVID SHARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9729
(417) 820-6471
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
114378
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
BLUE
MO
05
—
134179001
—
AR
05
—
209798909
—
MO
01
—
300085564
RRR MEDICARE
MO
Enumeration date
03/23/2006
Last updated
06/03/2013
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