Individual
DR. LEONIDAS THEODORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 LADUE ESTATES, SAINT LOUIS, MO 63141
(314) 432-1805
Mailing address
9 LADUE ESTATES, SAINT LOUIS, MO 63141
(314) 432-1805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30764
AZ
2084P0800X
Psychiatry Physician
R4130
MO
Other
Enumeration date
03/16/2007
Last updated
08/10/2017
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