Individual
DR. ION VOLOSENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116030512
VA
207R00000X
Internal Medicine Physician
2020021221
MO
207R00000X
Internal Medicine Physician
Primary
ME152010
FL
208M00000X
Hospitalist Physician
2020021221
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116030512
MEDICAL LICENSE
VA
Enumeration date
07/03/2017
Last updated
10/09/2024
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