Individual provider · Type 1 NPI
Todd Lee Divan, DPM
Foot & Ankle Surgery Podiatrist · Union City, TN
NPI number
1235201898
Active
Practice location
1415 E Reelfoot Ave
Union City, TN 38261-5812
Fax (731) 885-0216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 016-004761 (IL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 734 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Union City
About NPI 1235201898
Todd Lee Divan, DPM's National Provider Identifier is 1235201898, issued on Nov 15, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Union City, TN. The record was last updated on May 2, 2013.