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Individual

DR. SPIROS T THEODORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C. PC

Contact information

Practice address
12105 DARNESTOWN RD STE L-89, GAITHERSBURG, MD 20878-2217
(301) 869-0006
(301) 869-0201
Mailing address
12105 DARNESTOWN RD, SUITE L-8, GAITHERSBURG, MD 20878-2217
(301) 869-0006
(301) 869-0201

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S02045
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
349882
MAMSI
MD
01
KCS6PO
BC/BS OF MD
MD
01
S-860-0001
BC/BS OF DC
DC
Enumeration date
06/30/2005
Last updated
01/18/2026
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