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Individual

ONDREJ CHOUTKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1072 N LIBERTY STREET, STE 303, BOISE, ID 83704
(208) 367-4035
(208) 367-7111
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-4035
(208) 367-7111

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
43915
KY
207T00000X
Neurological Surgery Physician
57009091
OH
207T00000X
Neurological Surgery Physician
Primary
M-13330
ID

Other

Enumeration date
04/25/2007
Last updated
11/28/2016
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