Provider Demographics
NPI:1215664156
Name:RAUSZEK
Entity type:Organization
Organization Name:RAUSZEK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUSCHKOLB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-848-3906
Mailing Address - Street 1:3654 W ANTHEM WAY STE B106
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0455
Mailing Address - Country:US
Mailing Address - Phone:602-848-3906
Mailing Address - Fax:602-848-3454
Practice Address - Street 1:3654 W ANTHEM WAY STE B106
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-0455
Practice Address - Country:US
Practice Address - Phone:602-848-3906
Practice Address - Fax:602-848-3454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty