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Individual

MR. ERIC P GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYS ASSIST CERT

Contact information

Practice address
3015 N BALLAS RD, DEPARTMENT OF CRITICAL CARE, SAINT LOUIS, MO 63131-2329
(314) 996-7033
(314) 996-5909
Mailing address
3015 N BALLAS RD, DEPARTMENT OF CRITICAL CARE, SAINT LOUIS, MO 63131-2329
(314) 996-7033
(314) 996-5909

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
113938
MO

Other

Enumeration date
08/14/2006
Last updated
01/14/2021
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