Individual
DR. CAESAR S DIVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2200 FORT ROOTS DR BLDG 661, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3474
(501) 257-3773
Mailing address
23 TURTLE CREEK CT, LITTLE ROCK, AR 72211-2351
(501) 221-9857
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145589748
—
AR
Enumeration date
07/05/2006
Last updated
04/03/2024
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