Search › Missouri › Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
David Theodoro, M.D
NPI 1073518577 · on the registry since 2005
Practice
- Address
- 12255 De Paul Dr North Bldg
Ste 260
Bridgeton, MO 63044 - Phone
- (314) 647-8269
- Fax
- (314) 646-1700
Additional practice sites
- 970 Lakeland Dr Ste 61, Jackson, MS
Registry record
- Primary taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208G00000X
- Also registered as
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician - Licence states on file
- MO, IL, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri