Individual
DR. MARCELLUS RYAN LUWIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1350
(816) 271-8810
Mailing address
101 MOSAIC CT STE 200, SAINT JOSEPH, MO 64506-0015
(816) 271-1350
(816) 271-1355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019019525
MO
208000000X
Pediatrics Physician
9409951
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200073546
—
MO
05
—
30004656500002
—
KS
Enumeration date
09/24/2010
Last updated
04/07/2026
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