Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036126207 | IL |
N | 111NI0900X | Internist | 036126207 | IL |
Y | 207RX0202X | Medical Oncology | 036126207 | IL |
NPI | 1003258583 |
---|---|
Provider Name | Dr. Luis David Sumoza |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Alton, IL 62002-6722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2013 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200084858 | (05) | MO |