Provider Demographics
NPI:1760429047
Name:SPIROPOULOS, DIMITRIOS (DC)
Entity Type:Individual
Prefix:DR
First Name:DIMITRIOS
Middle Name:
Last Name:SPIROPOULOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:SPIROPOULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3520 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5156
Mailing Address - Country:US
Mailing Address - Phone:602-954-9444
Mailing Address - Fax:602-954-1248
Practice Address - Street 1:3520 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5156
Practice Address - Country:US
Practice Address - Phone:602-954-9444
Practice Address - Fax:602-954-1248
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV02598Medicare UPIN