NPI 1700423902
Randy Bland
Practice location
- Address
- 14047 W Monte Vista Rd, Goodyear, AZ 85395
- Phone
- (480) 334-2092
- Mailing address
- Intermountain Centers for Human Development INC. PO Box 86537, Tucson, AZ 85754-6537
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1700423902
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Dec 2019
- Record last updated
- 29 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.