Organization
PLEASANT PEDIATRICS PLC
Active
Parent organization
PLEASANT PEDIATRICS PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLEASANT PEDIATRICS PLC
Authorized official
PRASAD RAVI (PRACTICE MANAGER)
(623) 322-3380
Entity
Organization
Contact information
Practice address
9980 W GLENDALE AVE STE 130, GLENDALE, AZ 85307-3007
(623) 322-3380
Mailing address
9059 W LAKE PLEASANT PKWY STE E540, PEORIA, AZ 85382-8396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645732
—
AZ
Enumeration date
01/16/2018
Last updated
06/11/2019
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