CHISOM EZE

SAINT LOUIS, MO
NPI1821527649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: KS  94-09269)
Enumeration Date2017-06-06
Last Update Date2021-09-29
Business Address
CHISOM EZE MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
Mailing Address
CHISOM EZE MD
621 S BALLAS RD STE 112A
SAINT LOUIS, MO 63122-5314
Phone number: 142-516-3393
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