BOBBY VITAYA ENKVETCHAKUL

WASHINGTON, MO
NPI1487764882
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
(Licence: MO  MD113081 MO)
Enumeration Date2006-08-30
Last Update Date2024-02-21
Business Address
BOBBY VITAYA ENKVETCHAKUL MD
1 W 12TH ST
WASHINGTON, MO 63090-4416
Phone number: 636-239-0735
Mailing Address
BOBBY VITAYA ENKVETCHAKUL MD
PO BOX 1275
WASHINGTON, MO 63090-8275
Phone number: 636-239-0735