Healthcare Provider Details

I. General information

NPI: 1215378450
Provider Name (Legal Business Name): DEVIN S BLAND DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DEVIN S. BLAND D.P.M.

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 N 103RD AVE STE 95
SUN CITY AZ
85351-3060
US

IV. Provider business mailing address

3600 N 3RD AVE STE A
PHOENIX AZ
85013-3944
US

V. Phone/Fax

Practice location:
  • Phone: 602-477-9422
  • Fax: 602-675-0924
Mailing address:
  • Phone: 602-477-9422
  • Fax: 602-675-0924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number000839
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number000839
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: