Organization
MISSOURI OBESITY CENTER,LLC
Active
Other names
Wiredu Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KONTOR WIREDU MD (OWNER)
(417) 988-5306
Entity
Organization
Contact information
Practice address
1601 E BROADWAY STE 160, COLUMBIA, MO 65201-5821
(573) 777-9917
(573) 777-9918
Mailing address
5102 BEACON FALLS DR, COLUMBIA, MO 65203-9056
(417) 988-5306
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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