Individual
THEODORE JOHN CHOMA
Active
Individual
THEODORE JOHN CHOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2006006302
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2006006302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200757409
—
MO
01
—
204960
BLUE SHIELD
MO
01
—
739111
HEALTHLINK
MO
Enumeration date
05/31/2006
Last updated
10/05/2022
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