Individual
DR. SHERRY L. PHIPPEN-GESUALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1333 S SAM HOUSTON BLVD STE C, HOUSTON, MO 65483-2046
(417) 967-1252
(417) 967-0417
Mailing address
1333 S SAM HOUSTON BLVD STE C, HOUSTON, MO 65483-2046
(417) 967-1252
(417) 967-0417
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2002021119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205982101
—
MO
Enumeration date
01/10/2007
Last updated
04/01/2026
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