Individual
DR. DECHA ENKVETCHAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, 5TH FLOOR, SUITE C, SAINT LOUIS, MO 63110-1032
(314) 362-7603
(314) 361-4197
Mailing address
660 S EUCLID AVE, C B 8126, SAINT LOUIS, MO 63110-1010
(314) 362-7603
(314) 361-4197
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
103678
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205238603
—
MO
Enumeration date
07/14/2006
Last updated
01/22/2009
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