person
Dr. Simon Daniel Xavier Thebault, MD
Neurology Physician in Philadelphia, Pennsylvania
NPI 1174258305

Simon Daniel Xavier Thebault is a Neurology Physician based in Ardmore, PA and is specialized in Neurology. Simon Daniel Xavier Thebault practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Simon Daniel Xavier Thebault is 1174258305 and holds a License No. MD478091 (Pennsylvania).

The current practice location address for Simon Daniel Xavier Thebault is 3400 Civic Center Blvd S, Philadelphia, PA and can be reached out via phone at 215-316-5151.

Location: 3400 Civic Center Blvd S, Philadelphia, PA, 19003
person
Provider Profile Details
NPI Number
1174258305
Provider Name
Simon Daniel Xavier Thebault
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Civic Center Blvd S, Philadelphia, PA, 19003
Phone Number
215-316-5151
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd S
City
State
Zip
19104
Phone Number
215-316-5151
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd S
City
State
Zip
19104
Phone Number
215-316-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
MD478091 (Pennsylvania)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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