| Doctor Name: | DR. RACHEL ELLEN BEVERIDGE |
| NPI Number: | 1487942736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 267637 |
| Business Practice Address: | 4175 S Alamo Ave 355 Amds/355 Mdg Davis Monthan Afb, AZ - 857074402 |
| Business Phone Number: | 5202282721 |
| Business Fax Number: | |
| Mailing Address: | 4175 S Alamo Ave, 355 Amds/355 Mdg DAVIS MONTHAN AFB |
| State: | AZ |
| Postal Code: | 857074402 |
| Phone Number: | 5202282721 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2011 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 267637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |