Organization
COLLIN F. SHARP M.D. P.C.
Active
Other names
Blue Sky Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIN F SHARP MD (PRESIDENT)
(970) 765-8965
Entity
Organization
Contact information
Practice address
203 S NEVADA AVE, MONTROSE, CO 81401-4233
(970) 249-7751
(970) 249-5029
Mailing address
203 S NEVADA AVE, MONTROSE, CO 81401-4233
(970) 765-8965
(970) 765-8955
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47466
CO
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841420932
NPI TYPE II (ORGANIZATION)
—
01
—
CO41026
MEDICARE INDIVVIDUAL PTAN
CO
01
—
COB4729
MEDICARE GROUP PTAN
CO
Enumeration date
07/23/2009
Last updated
12/15/2020
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