Rafe Mumford is a Military Health Care Provider based in Washington, AK. Rafe Mumford practices in Juneau, AK. The NPI Number for Rafe Mumford is 1184600686 and holds a License No. (Alaska).
The current practice location address for Rafe Mumford is 9200 Gee St, Juneau, AK and can be reached out via phone at 907-796-3672.
Location: 9200 Gee St, Juneau, AK, 20593-0001
Provider Profile Details
NPI Number
1184600686
Provider Name
Rafe Mumford
Credential
Provider Entity Type
Individual
Gender
Male
Address
9200 Gee St, Juneau, AK, 20593-0001
Phone Number
907-796-3672
Fax Number
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
Provider Business Practice Location Address Details
Address
9200 Gee St
City
State
Zip
99801-8824
Phone Number
907-796-3672
Fax Number
Provider Business Mailing Address Details
Address
9200 Gee St
City
State
Zip
99801-8824
Phone Number
907-796-3672
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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