Individual provider · Type 1 NPI

Ilia Rosa Sumoza, MD

Hematology & Oncology Physician · Fenton, MO

NPI number 1548447113 Active

Practice location

1011 Bowles Ave, Suite G 50
Fenton, MO 63026-2395

Fax (636) 496-4962

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X2011030407 (MO)

Hematology & Oncology Physician: 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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About NPI 1548447113

Ilia Rosa Sumoza, MD's National Provider Identifier is 1548447113, issued on Jan 25, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fenton, MO. The record was last updated on Dec 20, 2021.