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Individual

AMY R SCHOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016021528
MO
208000000X
Pediatrics Physician
24652
NE
208000000X
Pediatrics Physician
26803
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2062810
IA
05
3062810
IA
05
4062810
IA
Enumeration date
01/11/2006
Last updated
07/22/2021
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