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Individual

STANLEY PERRY SHARP

Active
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Individual

STANLEY PERRY SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420798
KS
207R00000X
Internal Medicine Physician
Primary
R6B11
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12912117
BLUE CROSS
MO
01
742870072
MOST INSURANCE
MO
Enumeration date
09/06/2006
Last updated
12/02/2011
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