Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Leigh Stovall, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043605447

Amanda Leigh Stovall, MD is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5208 N Weaverridge Blvd
Peoria, IL 61615-8984
Phone: (502) 418-2991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 944-4034

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.157682 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence APPLIED FOR (IN)

Record details

NPI number1043605447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 2, 2015
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

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