Provider Demographics
NPI:1831687268
Name:GERBER, RACHEL (DPM)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GERBER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41818 N VENTURE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-3189
Mailing Address - Country:US
Mailing Address - Phone:623-551-5000
Mailing Address - Fax:
Practice Address - Street 1:41818 N VENTURE DR STE 110
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3189
Practice Address - Country:US
Practice Address - Phone:623-551-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00367100213E00000X
AZPOD-001076213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherSTUDENT