Individual
DR. DAVID LEE SOMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
Mailing address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2219
(417) 886-5000
(417) 886-1100
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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