Individual
DR. ENOCK ELIE FAUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6611
(417) 347-6662
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-6611
(417) 347-6662
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-473646
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2019007127
MO
Other
Enumeration date
01/20/2010
Last updated
05/10/2024
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