Provider Demographics
NPI:1932319878
Name:SLOAN, DEVIN JOSHUA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:JOSHUA
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E THOMAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3100
Mailing Address - Country:US
Mailing Address - Phone:602-557-0007
Mailing Address - Fax:602-557-0002
Practice Address - Street 1:20601 N 19TH AVE STE 115
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2646
Practice Address - Country:US
Practice Address - Phone:602-557-0055
Practice Address - Fax:623-587-0499
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ381872085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP01388504OtherRR MEDICARE
AZ345228Medicaid
AZZ170450Medicare PIN
AZZ175027Medicare PIN