Individual
STEPHEN EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4384 MILAM RD, BATES CITY, MO 64011-8287
(816) 690-7650
Mailing address
4384 MILAM RD, BATES CITY, MO 64011-8287
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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