Basic Information
| Provider Information | |||||||||
| NPI: | 1114135415 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT NEAL ROUZIER, M.D., INC | ||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | PREVENTIVE MEDICINE CLINICS OF THE DESERT | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2825 E TAHQUITZ CANYON WAY | ||||||||
| Address2: | #B200 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922626906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603204292 | ||||||||
| FaxNumber: | 7603229475 | ||||||||
| Practice Location | |||||||||
| Address1: | 2825 E TAHQUITZ CANYON WAY | ||||||||
| Address2: | #B200 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922626906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603204292 | ||||||||
| FaxNumber: | 7603229475 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ROUZIER | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | NEAL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7603204292 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | A35623 | CA | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice | 363A00000X | PA12724 | CA | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.