Individual
ZDENEK OTRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265487367
—
WA
01
—
P01378277
RR MEDICARE PTAN
WA
Enumeration date
05/24/2006
Last updated
08/02/2022
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