Individual
DR. RICHARD A SUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 DE PAUL DR STE 500, BRIDGETON, MO 63044-2515
(314) 291-9501
(314) 291-9508
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-0001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R8D48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00035728
RAILROAD MEDICARE
MO
Enumeration date
02/10/2006
Last updated
10/27/2020
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