Individual
ALEXIOS DEMETRIOS THERIANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18050 E EASTER AVE, FOXFIELD, CO 80016-1515
(719) 464-7677
Mailing address
18050 E EASTER AVE, FOXFIELD, CO 80016-1515
(719) 464-7677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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