NPI 1043605447

Amanda Leigh Stovall, MD

Practitioner Pediatrics Physician Peoria, IL

Practice location

Address: 5208 N Weaverridge Blvd, Peoria, IL 61615-8984
Phone: (502) 418-2991

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036.157682 (IL)

Other Pediatrics providers in Illinois →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence APPLIED FOR (IN)

Other Student in an Organized Health Care Education/Training Program providers in Illinois →

Registry record

NPI: 1043605447
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2015
Record last updated: 21 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.