Whalio Doctors

NPI 1336546084

Anthony Ezemba

Practitioner Physical Medicine & Rehabilitation Physician Saint Joseph, MO

Practice location

Address
5301 Faraon St STE 200, Saint Joseph, MO 64506-3829
Phone
(816) 271-7673
Fax
(816) 271-4924

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence T2161 (TX)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2018010998 (MO)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1336546084
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Nov 2014
Record last updated
26 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.