Healthcare Provider Details

I. General information

NPI: 1255531794
Provider Name (Legal Business Name): RJC TAXI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 MOUNTAIN VIEW DR
ANCHORAGE AK
99501-3108
US

IV. Provider business mailing address

3215 MOUNTAIN VIEW DR
ANCHORAGE AK
99501-3108
US

V. Phone/Fax

Practice location:
  • Phone: 907-274-3333
  • Fax: 907-929-9884
Mailing address:
  • Phone: 907-274-3333
  • Fax: 907-929-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateAK

VIII. Authorized Official

Name: MR. JEFF FLOYD
Title or Position: OFFICE MANAGER
Credential:
Phone: 907-274-3333