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Individual

ADAM DOYLE SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-2323
(580) 421-1574
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8210
(314) 991-8206

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0437257
KS
2085R0202X
Diagnostic Radiology Physician
2014018809
MO
2085R0202X
Diagnostic Radiology Physician
26337
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
26337
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
Enumeration date
06/11/2008
Last updated
02/21/2024
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