DR. Akilis Mike Theoharidis, D.P.M

NPI #1912933474 in Gladstone, Missouri

Provider Information

NPI Number: 1912933474
Entity Type: Individual
Name: DR. Akilis Mike Theoharidis, D.P.M
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M
Enumeration Date: Jun 24, 2006
Last Updated: Dec 23, 2020

Practice Location

Address: 407 NE 76TH TER
City: Gladstone
State: Missouri
ZIP Code: 64118-1708
Phone: (816) 436-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X

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