Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOBBY VITAYA ENKVETCHAKUL, MD
Active Sole ProprietorBOBBY VITAYA ENKVETCHAKUL, MD is a Occupational Medicine Clinic healthcare provider located in WASHINGTON, Missouri. NPI 1487764882 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine Clinic · WASHINGTON, MO
Registration Details
- NPI Number
- 1487764882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.990013993945 yrs)
- Last Updated
- Feb 21, 2024
- License
-
MD113081 MO (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 W 12TH STWASHINGTON, MO, 630904416Browse MO providers · Browse ZIP 63090
- Phone
- 6362390735
- Fax
- 6362390907
- Primary Specialty
-
Occupational Medicine Clinic
261QX0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.