Individual
DR. GREGORY EVAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 MANITOU AVE, MANITOU SPRINGS, CO 80829-2537
(719) 686-8844
Mailing address
335 MANITOU AVE, MANITOU SPRINGS, CO 80829-2537
(719) 686-8844
(719) 686-7449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40965
CO
207Q00000X
Family Medicine Physician
68244
TN
207Q00000X
Family Medicine Physician
95170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665966
ANTHEM BC/BS PROVIDER #
CO
Enumeration date
11/04/2005
Last updated
06/05/2025
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