Provider Demographics
NPI:1932662079
Name:KOENIGSBERG, REBECCA CHERYL (DO)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:CHERYL
Last Name:KOENIGSBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7514 E MONTEREY WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6900
Mailing Address - Country:US
Mailing Address - Phone:480-614-8011
Mailing Address - Fax:480-949-8339
Practice Address - Street 1:7514 E MONTEREY WAY STE 1
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6900
Practice Address - Country:US
Practice Address - Phone:480-949-7377
Practice Address - Fax:480-949-8339
Is Sole Proprietor?:No
Enumeration Date:2019-04-06
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.015769207K00000X
AZ010971207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology