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Organization
MISSOURI OBESITY CENTER,LLC
Active
Organization
MISSOURI OBESITY CENTER,LLC
Active
Other names
Wiredu Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KONTOR WIREDU MD (OWNER)
(417) 988-5306
Entity
Organization
Contact information
Practice address
1601 E BROADWAY STE 160, COLUMBIA, MO 65201-5821
(573) 777-9917
(573) 777-9918
Mailing address
5102 BEACON FALLS DR, COLUMBIA, MO 65203-9056
(417) 988-5306
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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