Mr. Eric P Gipson, PHYSASSISTCERT
Mr. Eric P Gipson, PHYSASSISTCERT is a Physician Assistant in Saint Louis, Missouri. Qualified in 1997, 29 years ago. Practices with Missouri Baptist Medical Center, a 123-clinician group. Licensed in Missouri.
- Years since qualifying
- 29
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
3015 N Ballas Rd Dept OF Critical CareSaint Louis, MO 63131-2329
Phone: (314) 996-7033
Fax: (314) 996-5909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 113938 (MO) |
|---|
Record details
| NPI number | 1841203478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSASSISTCERT |
| Sole proprietor | No |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Missouri Baptist Medical Center — 123 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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