Individual
RACHEL ALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5994 S HOSPITAL DR, GLOBE, AZ 85501-9462
(928) 425-7108
(928) 425-7925
Mailing address
ONE HOSPITAL DRIVE, DCO75.00, MC424, UNIVERSITY OF MISSOURI, DEPARTMENT OF SURGERY, COLUMBIA, MO 65212
(573) 884-2000
(573) 884-6024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012017801
MO
208600000X
Surgery Physician
Primary
58890
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005495
—
AZ
01
—
2012017801
MEDICAL LICENSE NUMBER
MO
Enumeration date
06/29/2012
Last updated
06/10/2025
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