Healthcare Provider Details

I. General information

NPI: 1932319878
Provider Name (Legal Business Name): DEVIN JOSHUA SLOAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20601 N 19TH AVE STE 115
PHOENIX AZ
85027-2646
US

IV. Provider business mailing address

10200 GRAND CENTRAL AVE STE 220
OWINGS MILLS MD
21117-4366
US

V. Phone/Fax

Practice location:
  • Phone: 602-557-0055
  • Fax: 623-587-0499
Mailing address:
  • Phone: 602-557-0055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number38187
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: