Individual
DR. CHIZOBA JOAKIN EZEPUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
71351
WI
2084V0102X
Vascular Neurology Physician
Primary
036148557
IL
2084V0102X
Vascular Neurology Physician
2017020334
MO
Other
Enumeration date
06/27/2013
Last updated
01/22/2024
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