# MISSOURI OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972369619
- **Authorized official:** BOBBY ENKVETCHAKUL MD, MPH (PHYSICIAN)
- **Authorized official phone:** (636) 239-0735

## Contact information

- **Practice address:** 1 W 12TH ST, WASHINGTON, MO 63090-4416
- **Practice address phone:** (636) 239-0735
- **Mailing address:** PO BOX 1275, WASHINGTON, MO 63090-8275
- **Mailing address phone:** (636) 390-9277
- **Mailing address fax:** (636) 239-0907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024