Individual
DR. DIMITRIOS THEODORIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26317 W. WASHINGTON STREET, PETERSBURG, VA 23803-0030
(804) 524-7005
(804) 524-4807
Mailing address
8101 QUEEN SCOT DR, RICHMOND, VA 23235-5545
(804) 276-2441
(804) 524-4807
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
0101044634
VA
Other
Enumeration date
03/02/2006
Last updated
07/08/2007
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