Individual
DR. RACHELLE L GORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 N JEFFERSON ST, SAINT JAMES, MO 65559
(573) 265-8840
(573) 202-2474
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001007763
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002013368
FFS MEDICARE/WPS
MO
01
—
0101983
UNITED HEALTH CARE
MO
01
—
080174605
RAILROAD MEDICARE
MO
01
—
144176
BLUE SHIELD OF MO
MO
05
—
245323704
—
MO
01
—
263904
RURAL HEALTH MEDICARE
MO
01
—
431908560
TRIWEST
MO
01
—
464413
HEALTHLINK
MO
05
—
596841403
—
MO
Enumeration date
02/20/2006
Last updated
08/22/2019
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