David A Theodoro M.D.

NPI 1073518577 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1073518577
Gender Male
Enumeration Date 06/20/2005
Last Updated 12/17/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
12255 DE PAUL DR NORTH BLDG
STE 260
BRIDGETON MO, 63044, US
Phone (314) 647-8269
Fax (314) 646-1700
Business Location
1035 BELLEVUE AVE
STE 500
ST LOUIS MO, 63117-1845, US
Phone (314) 647-8269
Fax (314) 646-1700
Toxanomy
Taxonomy Code 208G00000X
License State Illinois
License Number 036095641
Remove 1073518577 NPI Number
 

According to our database, Dr. David A Theodoro M.D. NPI is 1073518577, taxonomy code is 208G00000X and license number is 036095641, license state is located at Illinois. David A Theodoro M.D. physically located at 12255 De Paul Dr North Bldg, Bridgeton MO, 63044. NPI Number David A Theodoro M.D. has the Individual type.

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1073518577 NPI number is provided on an as is basis without warranty of any kind. 1073518577 is maintained by the National Plan & Provider Enumeration System. The contents of David A Theodoro M.D. are for informational purposes only.