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Individual

STACEY LEIGH SHARPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005559
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000567
FAMILY HEALTH PARTNERS
01
1201586
UNITED HEALTH CARE
05
205797608
MO
01
31505012
BLUE CROSS/BLUE SHIELD
01
506270
FIRST GUARD
01
7351363
AETNA
Enumeration date
07/07/2005
Last updated
07/08/2007
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