Healthcare Provider Details

I. General information

NPI: 1700042355
Provider Name (Legal Business Name): RHODORA J BECKINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 MDG 5955 ZEAMER AVE
JBER AK
99506
US

IV. Provider business mailing address

673 MDG 5955 ZEAMER AVE
JBER AK
99506
US

V. Phone/Fax

Practice location:
  • Phone: 907-551-6508
  • Fax:
Mailing address:
  • Phone: 907-551-6508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101248062
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: