DR. Todd Lee Divan, DPM

NPI #1235201898 in Union City, Tennessee

Provider Information

NPI Number: 1235201898
Entity Type: Individual
Name: DR. Todd Lee Divan, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist - Foot & Ankle Surgery
Credential: DPM
Enumeration Date: Nov 15, 2006
Last Updated: May 2, 2013

Practice Location

Address: 1415 E REELFOOT AVE
City: Union City
State: Tennessee
ZIP Code: 38261-5812
Phone: (731) 885-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X	Primary

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