# CHAD E PLETNICK, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891212478
- **Authorized official:** DR. CHAD EDWARD PLETNICK MD (PHYSICIAN AND OWNER)
- **Authorized official phone:** (520) 762-1547

## Contact information

- **Practice address:** 12480 N RANCHO VISTOSO BLVD STE 180, ORO VALLEY, AZ 85755-1994
- **Practice address phone:** (520) 742-4008
- **Practice address fax:** (520) 742-4280
- **Mailing address:** 12607 N VISTOSO VIEW PL, ORO VALLEY, AZ 85755-1972
- **Mailing address phone:** (520) 300-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 36354 | AZ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 36354 | AZ | Yes |

## Other

- **Enumeration date:** 08/24/2017
- **Last updated:** 08/24/2017