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Organization
MISSOURI OCCUPATIONAL MEDICINE
Active
Organization
MISSOURI OCCUPATIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ENKVETCHAKUL MD, MPH (PHYSICIAN)
(636) 239-0735
Entity
Organization
Contact information
Practice address
1 W 12TH ST, WASHINGTON, MO 63090-4416
(636) 239-0735
Mailing address
PO BOX 1275, WASHINGTON, MO 63090-8275
(636) 390-9277
(636) 239-0907
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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