Individual
DR. PHILIP V THEODOSOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, 8TH FLOOR, SAN FRANCISCO, CA 94143-0350
(415) 353-2294
(415) 353-2624
Mailing address
400 PARNASSUS AVE, 8TH FLOOR, SAN FRANCISCO, CA 94143-2202
(415) 353-2294
(415) 353-2624
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35-082776
OH
207T00000X
Neurological Surgery Physician
Primary
A064860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408700
—
OH
Enumeration date
07/02/2006
Last updated
08/13/2013
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