Healthcare Provider Details

I. General information

NPI: 1770627481
Provider Name (Legal Business Name): DANIEL H SHARP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S 3RD ST STE 1
STERLING CO
80751-4259
US

IV. Provider business mailing address

PO BOX 951
STERLING CO
80751-0951
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-1833
  • Fax: 970-522-3677
Mailing address:
  • Phone: 970-522-1833
  • Fax: 970-522-3677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number29002
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberDR0029002
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: