person
Bobby Vitaya Enkvetchakul, MD
Occupational Medicine Clinic/Center in Washington, Missouri
NPI 1487764882

Bobby Vitaya Enkvetchakul is a Occupational Medicine Clinic/Center based in Washington, MO and is specialized in Occupational Medicine. Bobby Vitaya Enkvetchakul practices in Washington, MO and has the professional credentials of MD. The NPI Number for Bobby Vitaya Enkvetchakul is 1487764882 and holds a License No. MD113081 MO (Missouri).

The current practice location address for Bobby Vitaya Enkvetchakul is 1 W 12Th St, Washington, MO and can be reached out via phone at 636-239-0735 and via fax at 636-239-0907.

Location: 1 W 12Th St, Washington, MO, 63090-8275
person
Provider Profile Details
NPI Number
1487764882
Provider Name
Bobby Vitaya Enkvetchakul
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 W 12Th St, Washington, MO, 63090-8275
Phone Number
636-239-0735
Fax Number
636-239-0907
Provider Enumeration Date
08/30/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1 W 12Th St
City
State
Zip
63090-4416
Phone Number
636-239-0735
Fax Number
636-239-0907
person
Provider Business Mailing Address Details
Address
1 W 12Th St
City
State
Zip
63090-4416
Phone Number
636-239-0735
Fax Number
636-239-0907
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
License No.
MD113081 MO (Missouri)
Definition
Definition to come...
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