Provider Demographics
NPI:1538665021
Name:ROLLENDER, DEVIN (DO)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:
Last Name:ROLLENDER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3127 S ROANOKE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1209
Mailing Address - Country:US
Mailing Address - Phone:066-571-2381
Mailing Address - Fax:
Practice Address - Street 1:5015 S ARIZONA MILLS CIR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6401
Practice Address - Country:US
Practice Address - Phone:480-536-6830
Practice Address - Fax:480-718-1301
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ009050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program