Individual
GERALD H PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 SUNSET DR, SMITHVILLE, MO 64089-8409
(816) 343-6090
Mailing address
607 SUNSET DR, SMITHVILLE, MO 64089-8409
(816) 343-6090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35858
MO
2085R0202X
Diagnostic Radiology Physician
Primary
35858
MO
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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