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STEPHANIE A EZEBUIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 73RD ST STE 20, WEST DES MOINES, IA 50265-1321
(515) 223-6794
Mailing address
1445 SE MESA DR, WAUKEE, IA 50263-1308
(202) 558-8470

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-46599
IA
207Q00000X
Family Medicine Physician
R-11035
IA

Other

Enumeration date
06/22/2017
Last updated
08/14/2023
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