Individual provider · Type 1 NPI

De'sia Blackwell, DPM

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1780527770 Active

Practice location

5800 Ridge Avenue
Philadelphia, PA 19128

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC007669 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1780527770

De'sia Blackwell, DPM's National Provider Identifier is 1780527770, issued on Apr 13, 2026. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 22, 2026.