Johnnie Ezell's National Provider Identifier (NPI) Details
Johnnie Ezell,
NPI: 1437471299
Enumeration Date: 2010-02-22
Last updated: 2024-10-09
Sole Proprietor: NO
Status: active
Postal Address: 1200 W WALNUT ST, SUITE 1500, ROGERS, AR
Phone: 479-636-0083
Primary Practice Address: 24 MILLS DR, BELLA VISTA, AR
Practice's phone: 479-466-4004