TIMOTHY D DIVENS

INDIANAPOLIS, IN
NPI1164416475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IN  01050545A)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: IN  1050545)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: IN  01050545A)
Enumeration Date2005-09-01
Last Update Date2020-12-24
Business Address
TIMOTHY D DIVENS MD
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256-3307
Phone number: 317-579-2150
Mailing Address
TIMOTHY D DIVENS MD
9998 CROSSPOINT BLVD STE 200
INDIANAPOLIS, IN 46256-3307
Phone number: 317-579-2150