Individual
DR. ANTHONY EZEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5301 FARAON ST STE 200, SAINT JOSEPH, MO 64506-3829
(816) 271-7673
(816) 271-4924
Mailing address
5301 FARAON ST STE 200, SAINT JOSEPH, MO 64506-3829
(816) 271-7673
(816) 271-4924
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2018010998
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
T2161
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/24/2014
Last updated
01/26/2023
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