Individual provider · Type 1 NPI

Sonny Ezebulunwor Ideozu, MD

Military Health Care Provider · Kansas City, MO

NPI number 1750427761 Active

Practice location

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Call (816) 861-4700 Map

Mailing address

4768 Oak St, Apt 514
Kansas City, MO 64112-2265

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: 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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About NPI 1750427761

Sonny Ezebulunwor Ideozu, MD's National Provider Identifier is 1750427761, issued on Jan 29, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 8, 2007.