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Individual
DR. SPIROS T THEODORE
Active
Individual
DR. SPIROS T THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C. PC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02045
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349882
MAMSI
MD
01
—
KCS6PO
BC/BS OF MD
MD
01
—
S-860-0001
BC/BS OF DC
DC
Enumeration date
06/30/2005
Last updated
01/18/2026
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