Individual
DR. ALEXANDER ANTONIOS THEOLOGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 PARNASSUS AVE, MU320, SAN FRANCISCO, CA 94143
(415) 353-8203
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(650) 996-6651
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A124464
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
2017010211
MO
Other
Enumeration date
06/16/2011
Last updated
03/04/2019
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