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Dr. David A Theodoro, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bridgeton, Missouri
NPI 1073518577

David A Theodoro is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Jackson, MO. David A Theodoro practices in Bridgeton, MO and has the professional credentials of MD. The NPI Number for David A Theodoro is 1073518577 and holds a License No. 118293 (Missouri).

The current practice location address for David A Theodoro is 12255 De Paul Dr North Bldg, Bridgeton, MO and can be reached out via phone at 314-647-8269 and via fax at 314-646-1700.

Location: 12255 De Paul Dr North Bldg, Bridgeton, MO, 39225-3666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073518577
Provider Name
David A Theodoro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12255 De Paul Dr North Bldg, Bridgeton, MO, 39225-3666
Phone Number
314-647-8269
Fax Number
314-646-1700
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036056372 01 IL SUBSTANCE CONTROL
0360957641 05 MO
1102596 01 MO BNDD
036056372 01 IL LICENSE
118293 01 MO LICENSE
036095641 05 IL
institution
Provider Business Practice Location Address Details
Address
12255 De Paul Dr North Bldg
City
Bridgeton
State
Missouri
Zip
63044
Phone Number
314-647-8269
Fax Number
314-646-1700
person
Provider Business Mailing Address Details
Address
12255 De Paul Dr North Bldg
City
Bridgeton
State
Missouri
Zip
63044
Phone Number
314-647-8269
Fax Number
314-646-1700
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
118293 (Missouri)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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