Organization
NOKS CORPORATION PC
Active
Other names
The Vascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOWOKERE I ESEMUEDE M.D. (OWNER)
(717) 816-2002
Entity
Organization
Contact information
Practice address
1147B E GANNON DR, FESTUS, MO 63028-2611
(636) 931-4441
(636) 937-4466
Mailing address
1147B E GANNON DR, FESTUS, MO 63028-2611
(636) 931-4441
(636) 937-4466
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209068709
—
MO
01
—
DC5781
RAILROAD MEDICARE
MO
Enumeration date
09/28/2007
Last updated
08/27/2008
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