Organization
RESPIRATORY AND MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH LUIS LEYVA R.T. (OWNER)
(907) 345-7969
Entity
Organization
Contact information
Practice address
5401 N STAR ST, ANCHORAGE, AK 99518-1045
(907) 345-7969
(907) 345-7969
Mailing address
PO BOX 110963, ANCHORAGE, AK 99511-0963
(907) 345-7969
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS8040
—
AK
Enumeration date
04/17/2007
Last updated
04/08/2008
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