person
Randall Bradford Choka, FNP
Family Nurse Practitioner in St Maries, Idaho
NPI 1417206442

Randall Bradford Choka is a Family Nurse Practitioner based in St Maries, ID and is specialized in Family. Randall Bradford Choka practices in St Maries, ID and has the professional credentials of FNP. The NPI Number for Randall Bradford Choka is 1417206442 and holds a License No. AP60291455 (Idaho).

The current practice location address for Randall Bradford Choka is 229 S 7Th St, St Maries, ID and can be reached out via phone at 208-245-5551 and via fax at 208-245-5246.

Location: 229 S 7Th St, St Maries, ID, 83861-1803
person
Provider Profile Details
NPI Number
1417206442
Provider Name
Randall Bradford Choka
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
229 S 7Th St, St Maries, ID, 83861-1803
Phone Number
208-245-5551
Fax Number
208-245-5246
Provider Enumeration Date
09/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
229 S 7Th St
City
State
Zip
83861-1803
Phone Number
208-245-5551
Fax Number
208-245-5246
person
Provider Business Mailing Address Details
Address
229 S 7Th St
City
State
Zip
83861-1803
Phone Number
208-245-5551
Fax Number
208-245-5246
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60291455 (Washington)
Definition
Definition to come...
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