Healthcare Provider Details

I. General information

NPI: 1841420932
Provider Name (Legal Business Name): COLLIN F. SHARP M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S NEVADA AVE
MONTROSE CO
81401-4233
US

IV. Provider business mailing address

203 S NEVADA AVE
MONTROSE CO
81401-4233
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-7751
  • Fax: 970-249-5029
Mailing address:
  • Phone: 970-765-8965
  • Fax: 970-765-8955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number47466
License Number StateCO

VIII. Authorized Official

Name: DR. COLLIN F SHARP
Title or Position: PRESIDENT
Credential: MD
Phone: 970-765-8965