person
Sonny Ezebulunwor Ideozu, MD
Military Health Care Provider in Kansas City, Missouri
NPI 1750427761

Sonny Ezebulunwor Ideozu is a Military Health Care Provider based in Kansas City, MO. Sonny Ezebulunwor Ideozu practices in Kansas City, MO and has the professional credentials of MD. The NPI Number for Sonny Ezebulunwor Ideozu is 1750427761 and holds a License No. (Missouri).

The current practice location address for Sonny Ezebulunwor Ideozu is 4801 E Linwood Blvd, Kansas City, MO and can be reached out via phone at 816-861-4700. You can also correspond with Sonny Ezebulunwor Ideozu through the mailing address at 4768 OAK ST, KANSAS CITY, MO - 64112-2265 (mailing address contact number: 816-756-5123).

Location: 4801 E Linwood Blvd, Kansas City, MO, 64112-2265
person
Provider Profile Details
NPI Number
1750427761
Provider Name
Sonny Ezebulunwor Ideozu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4801 E Linwood Blvd, Kansas City, MO, 64112-2265
Phone Number
816-861-4700
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4801 E Linwood Blvd
City
State
Zip
64128-2226
Phone Number
816-861-4700
Fax Number
person
Provider Business Mailing Address Details
Address
4768 Oak St
City
State
Zip
64112-2265
Phone Number
816-756-5123
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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