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Individual

DR. SHERRY X MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
2315 DOUGHERTY FERRY RD, SUITE 207, SAINT LOUIS, MO 63122-3383
(314) 984-8380
(314) 984-5091
Mailing address
2315 DOUGHERTY FERRY RD, SUITE 207, SAINT LOUIS, MO 63122-3383
(314) 984-8380
(314) 984-5091

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
106297
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500157
UNITED HEALTH CARE
MO
01
108428
BLUE CROSS AND SHIELD
MO
01
190661
BLUE CROSS AND SHIELD
MO
05
208715508
MO
01
218597
GROUP HEALTH PLAN ID
MO
01
219697
GROUP HEALTH PLAN ID NUMB
MO
01
333473
HEALTHLINK
MO
01
5868624
AETNA
Enumeration date
08/22/2006
Last updated
08/15/2012
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