Individual
DR. KEVIN PHILIP THEODOROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10585 N TATUM BLVD, D-137, PARADISE VALLEY, AZ 85253-1073
(602) 277-2361
(602) 713-9999
Mailing address
10585 N TATUM BLVD, D-137, PARADISE VALLEY, AZ 85253-1073
(602) 277-2361
(602) 713-9999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28436
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639677
—
AZ
Enumeration date
08/16/2006
Last updated
02/14/2013
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