Individual
DR. RICHARD PLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5350 DISTINCTION WAY, PRESCOTT, AZ 86301-8418
(928) 445-4066
(928) 445-4345
Mailing address
PO BOX 11654, PRESCOTT, AZ 86304-1654
(928) 445-4066
(928) 445-4345
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567464
—
AZ
Enumeration date
12/14/2005
Last updated
11/12/2012
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