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Individual
THEODORE GEORGE DRIVAS
Active
Individual
THEODORE GEORGE DRIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD467163
PA
Other
Enumeration date
04/01/2015
Last updated
07/15/2019
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