MEDICARE: DR. STEWART A. SHARP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	M7621	TX
2	207RH0003X	Hematology & Oncology Physician	40013	SC
3	174400000X	Specialist	0101040855	VA

General Provider Information

NPI Number	:	1235124934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEWART A. SHARP MD

Provider Business Mailing Address
First Line	:	401 N 9TH ST
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58501-4530
Country	:	US
Telephone Number	:	701-712-4500
Fax Number	:	701-712-4098

Provider Business Practice Location Address
First Line	:	401 N 9TH ST
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58501-4506
Country	:	US
Telephone Number	:	701-712-4500
Fax Number	:	701-712-4098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	11/05/2020

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Directions to “ DR. STEWART A. SHARP MD” Practice Location

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