Individual
SUSANNE CHOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2434
(208) 799-5700
Mailing address
625 6TH AVE, LEWISTON, ID 83501-2424
(208) 750-7464
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
21788
WV
2084P0800X
Psychiatry Physician
Primary
M-13629
ID
208D00000X
General Practice Physician
21788
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010885
—
WV
Enumeration date
05/30/2007
Last updated
08/07/2024
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