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Individual
DR. DAVID LEE SOMMERFELD
Active
Individual
DR. DAVID LEE SOMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
113752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004012599
MEDICARE PTAN
MO
01
—
113768
BLUE CROSS BLUE SHIELD
—
05
—
15377001
—
AR
05
—
209733815
—
MO
01
—
329974
HEALTHLINK
—
01
—
390005293
RAILROAD MEDICARE
—
Enumeration date
10/06/2006
Last updated
12/01/2009
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