Individual
SONNY EZEBULUNWOR IDEOZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
4768 OAK ST, APT 514, KANSAS CITY, MO 64112-2265
(816) 756-5123
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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