Whalio Doctors

NPI 1073518577

David a Theodoro, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Bridgeton, MO

Practice location

Address
12255 de Paul Dr North Bldg STE 260, Bridgeton, MO 63044
Phone
(314) 647-8269
Fax
(314) 646-1700
Mailing address
PO Box 23666, Jackson, MS 39225-3666

Registered specialties (3)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 28104 (MS)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 118293 (MO)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 036095641 (IL)

Registry record

NPI
1073518577
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2005
Record last updated
27 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.