Individual
AMANDA SOMMERVILLE
Active
Individual
AMANDA SOMMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-40412
KS
207R00000X
Internal Medicine Physician
2013019954
MO
207R00000X
Internal Medicine Physician
Primary
2022015274
MO
208000000X
Pediatrics Physician
04-40412
KS
208000000X
Pediatrics Physician
2022015274
MO
Other
Enumeration date
04/13/2013
Last updated
06/08/2022
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