DAVID A THEODORO

BRIDGETON, MO
NPI1073518577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MS  28104)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MO  118293)
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL  036095641)
Enumeration Date2005-06-20
Last Update Date2020-08-27
Business Address
Dr. DAVID A THEODORO M.D.
12255 DE PAUL DR NORTH BLDG STE 260
BRIDGETON, MO 63044
Phone number: 314-647-8269
Mailing Address
Dr. DAVID A THEODORO M.D.
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-2780