Individual
DR. GREGORY G THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940
(717) 249-1212
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H7839
TX
Other
Enumeration date
11/03/2006
Last updated
10/21/2011
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