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Search › Missouri › 207RH0003X

Ilia Sumoza, MD

NPI 1548447113 · on the registry since 2008

Practice

Address
1011 Bowles Ave
Suite G 50
Fenton, MO 63026
Phone
(636) 496-4640
Fax
(636) 496-4962
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
207RH0003X
207RH0003X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri