Individual
DR. RACHAEL CAROLEE PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69299
MN
207Q00000X
Family Medicine Physician
N1315
TX
390200000X
Student in an Organized Health Care Education/Training Program
526777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N85X
MEDICARE GROUP
TX
01
—
1760488936
GROUP NPI
TX
05
—
2080095-02
—
TX
Enumeration date
05/14/2007
Last updated
05/21/2021
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