Individual
DR. ALEC JO WILLIS SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-2300
Mailing address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004304A
IN
207RC0000X
Cardiovascular Disease Physician
02004304A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
20A20043
CA
208D00000X
General Practice Physician
02004304A
IN
Other
Enumeration date
04/17/2012
Last updated
03/17/2025
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