AMANDA STOVALL, M.D.
Pediatrics
Active
Individual
NPI: 1043605447
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | APPLIED FOR (IN) |
| Pediatrics | 208000000X | Yes | 036.157682 (IL) |
Frequently Asked Questions
NPI 1043605447 is the National Provider Identifier for AMANDA STOVALL, M.D., a Pediatrics provider located in Peoria, IL. This NPI was enumerated on April 2, 2015.
AMANDA STOVALL, M.D. practices at 5208 N WEAVERRIDGE BLVD, Peoria, IL 61615.
Quick Facts
- NPI
- 1043605447
- Type
- Individual
- Enumerated
- Apr 2, 2015
- Last Updated
- Jan 21, 2025
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