Individual
MARIA S THEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 W INA RD, TUCSON, AZ 85704-6204
(520) 694-8100
(520) 694-8191
Mailing address
655 E RIVER RD, TUCSON, AZ 85704-5840
(520) 694-2700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21212
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125262
—
AZ
Enumeration date
09/16/2006
Last updated
07/08/2007
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