Search › Idaho › 363LF0000X
Randall Choka, FNP
NPI 1417206442 · on the registry since 2012
Practice
- Address
- 229 S 7th St
St Maries, ID 83861 - Phone
- (208) 245-5551
- Fax
- (208) 245-5246
- Organisation at this address
- Benewah Community Hospital
Benewah Community Hospital
Inland Northwest Surgery Center PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho