Provider Demographics
NPI:1811090335
Name:SHARP, JEFFREY ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALAN
Last Name:SHARP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4374 E. BUTTE AVE
Mailing Address - Street 2:P.O. BOX 696
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85232
Mailing Address - Country:US
Mailing Address - Phone:520-868-0201
Mailing Address - Fax:520-868-8573
Practice Address - Street 1:4374 E. BUTTE AVE AZ DEPT OF CORRECTIONS
Practice Address - Street 2:SMUZ - BROWNING UNIT EYMAN COMPLEX
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85232
Practice Address - Country:US
Practice Address - Phone:850-868-0201
Practice Address - Fax:520-868-8573
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2009-07-02
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Provider Licenses
StateLicense IDTaxonomies
AZ8664207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine