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Individual

DR. SUSAN EZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
20 NE SAINT LUKES BLVD STE 310, LEES SUMMIT, MO 64086-6001
(816) 282-7809
(816) 282-7870
Mailing address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
(614) 544-1751

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
05-39880
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
2017010647
MO

Other

Enumeration date
03/14/2013
Last updated
02/25/2021
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