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Ilia Rosa Sumoza, MD
Hematology & Oncology Physician in Fenton, Missouri
NPI 1548447113

Ilia Rosa Sumoza is a Hematology & Oncology Physician based in Fenton, MO and is specialized in Hematology & Oncology. Ilia Rosa Sumoza practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Ilia Rosa Sumoza is 1548447113 and holds a License No. 2011030407 (Missouri).

The current practice location address for Ilia Rosa Sumoza is 1011 Bowles Ave, Fenton, MO and can be reached out via phone at 636-496-4640 and via fax at 636-496-4962.

Location: 1011 Bowles Ave, Fenton, MO, 63026-2395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548447113
Provider Name
Ilia Rosa Sumoza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1011 Bowles Ave, Fenton, MO, 63026-2395
Phone Number
636-496-4640
Fax Number
636-496-4962
Provider Enumeration Date
01/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1011 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-2395
Phone Number
636-496-4640
Fax Number
636-496-4962
person
Provider Business Mailing Address Details
Address
1011 Bowles Ave
City
Fenton
State
Missouri
Zip
63026-2395
Phone Number
636-496-4640
Fax Number
636-496-4962
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
2011030407 (Missouri)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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