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NPI Code Detail

MEDICARE: RACHEL GROETSCH BUCK DO

MEDICARE: RACHEL GROETSCH BUCK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician009059AZ
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750887519
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL GROETSCH BUCK DO
Provider Business Mailing Address
First Line : 15650 N BLACK CANYON HWY STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85053-4068
Country : US
Telephone Number : 602-866-0550
Fax Number : 602-993-5788
Provider Business Practice Location Address
First Line : 2030 W WHISPERING WIND DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-2853
Country : US
Telephone Number : 623-869-9080
Fax Number : 623-869-9090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2018
Last Update Date : 03/05/2024

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Directions to “ RACHEL GROETSCH BUCK DO” Practice Location

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