Healthcare Provider Details

I. General information

NPI: 1568387199
Provider Name (Legal Business Name): RACHEL BETH GERBER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6567 E CARONDELET DR STE 225
TUCSON AZ
85710-6154
US

IV. Provider business mailing address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 928-504-8311
  • Fax:
Mailing address:
  • Phone: 928-504-8311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD-001076
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: