Individual
DR. JOHN LEE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Mailing address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL17120
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551243
—
AL
01
—
51506024
BCBS
AL
Enumeration date
09/29/2005
Last updated
12/05/2012
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