Individual provider · Type 1 NPI
Bobby Vitaya Enkvetchakul, MD
Occupational Medicine Clinic/Center · Washington, MO
NPI number
1487764882
Active
Practice location
1 W 12th St
Washington, MO 63090-4416
Fax (636) 239-0907
Mailing address
PO Box 1275
Washington, MO 63090-8275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Clinic/Center Primary | 261QX0100X | MD113081 MO (MO) |
Occupational Medicine Clinic/Center: Definition to come...
Another provider at this address
About NPI 1487764882
Bobby Vitaya Enkvetchakul, MD's National Provider Identifier is 1487764882, issued on Aug 30, 2006. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Washington, MO. The record was last updated on Feb 21, 2024.