Individual
PAUL EDWARD CHADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, COHC
Contact information
Practice address
4430 MISSOURI AVE, OCCUPATIONAL HEALTH CLINIC, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0039
Mailing address
4430 MISSOURI AVE, OCCUPATIONAL HEALTH CLINIC, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0039
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
134078
MO
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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