Individual
MR. JEFFREY WILLIAM CHUDOBA
Active
Individual
MR. JEFFREY WILLIAM CHUDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD21637
OR
2085R0204X
Vascular & Interventional Radiology Physician
MD21637
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232545
—
OR
05
—
XPY192082
—
CA
Enumeration date
09/14/2005
Last updated
06/23/2014
Update your record
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