Healthcare Provider Details

I. General information

NPI: 1023401874
Provider Name (Legal Business Name): PLEASANT RETURN INVESTORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 03/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 W CAMELBACK RD
PHOENIX AZ
85037-3667
US

IV. Provider business mailing address

10212 W VILLA CHULA
PEORIA AZ
85383-2748
US

V. Phone/Fax

Practice location:
  • Phone: 623-849-8000
  • Fax: 602-429-8108
Mailing address:
  • Phone: 623-849-8000
  • Fax: 602-429-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number26935606
License Number StateAZ

VIII. Authorized Official

Name: DR. J SAGE HAGGARD
Title or Position: PHYSICIAN
Credential: N.M.D.
Phone: 623-849-8000