Individual
MR. ANDREAS A THEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 N CAMPBELL AVENUE, TUCSON, AZ 85724
(520) 626-5485
(520) 626-6571
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 626-5485
(520) 626-6571
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112524
—
AZ
Enumeration date
11/16/2006
Last updated
05/29/2013
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