Organization
SPIROS T THEODORE DC PC
Active
Other names
Potomac Valley Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SPIRO T THEODORE DC (PRESIDENT)
(301) 869-0006
Entity
Organization
Contact information
Practice address
12105 DARNESTOWN RD STE L-8-9, GAITHERSBURG, MD 20878-2217
(301) 869-0006
(301) 869-0201
Mailing address
12105 DARNESTOWN RD STE L8-9, GAITHERSBURG, MD 20878-2217
(301) 869-0006
(301) 869-0201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
02045
MD
111NR0400X
Rehabilitation Chiropractor
Primary
S02045
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106381
—
MD
05
—
010638100
—
MD
01
—
KCS6PO
BC BS
MD
01
—
S8600001
BC BS
DC
Enumeration date
05/23/2007
Last updated
02/04/2026
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