Basic Information
Provider Information
NPI: 1245643774
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIROUX DE ARMENDARIZ
FirstName: RACHEL
MiddleName: ANNETTE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GIROUX
OtherFirstName: RACHEL
OtherMiddleName: ANNETTE
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 7725 N 43RD AVE STE 510
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850515771
CountryCode: US
TelephoneNumber: 8778095092
FaxNumber:  
Practice Location
Address1: 7725 N 43RD AVE STE 510
Address2:  
City: PHOENIX
State: AZ
PostalCode: 85051
CountryCode: US
TelephoneNumber: 8778095092
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2014
LastUpdateDate: 04/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X006838AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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