Bland, Donovan C

Bland, Donovan C is an individual health care provider with primary practice located at 6320 N La Cholla Blvd Ste 310, Tucson AZ 85741-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bland, Donovan C can be contacted via phone (520) 219-9125.

Contact Information

Primary practice address
6320 N La Cholla Blvd Ste 310 Tucson AZ 85741-3552
Phone: (520) 219-9125
Fax: (520) 219-9130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39770 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 44536 Arizona

Profile Details

NPI number 1811966898
LBN Legal business name Bland, Donovan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811966898 NPPES
Kentucky MEDICAID 64113251
Kentucky Other 000000377241
Kentucky Other 50008747
Kentucky Other 2646385000

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