Maame Efua Sompa Otabil, M.D.
Family Medicine in Springfield, MO. Individual provider (NPI-1).
NPI number1083009484
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1083009484
- Entity type
- Individual (NPI-1)
- Name
- Maame Efua Sompa Otabil
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2018034807 | MO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Maame Efua Sompa Otabil-Nelson (Other Name)
Practice location
2716 W Republic RdSpringfield, MO 65807-3901
Phone 417-881-8812
Mailing address
2716 W Republic RdSpringfield, MO 65807-3901
Phone 417-881-8812
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