Individual
DONOVAN C BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5196 HILL RD E STE 300, LAKEPORT, CA 95453-6374
(707) 263-6885
(707) 263-6624
Mailing address
5196 HILL RD E STE 300, LAKEPORT, CA 95453-6374
(707) 263-6885
(707) 263-6624
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C151877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377241
ANTHEM
KY
01
—
2646385000
PASSPORT ADVANTAGE
KY
01
—
50008747
PASSPORT
KY
05
—
64113251
—
KY
Enumeration date
03/14/2006
Last updated
10/24/2025
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