Individual
REBECCA GIRARDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 SILVER AVE SW FL 2, ALBUQUERQUE, NM 87102-3123
(505) 272-6849
(505) 272-6844
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
J8249
TX
2080C0008X
Child Abuse Pediatrics Physician
Primary
MD2021--0261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138453910
CSHCN
TN
05
—
138453912
—
TX
01
—
81700K
BCBS
TX
Enumeration date
06/11/2006
Last updated
03/05/2025
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