NPI 1174774863
X Awaiting Inactivation3
Practice location
- Address
- 301dustoff Ave Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
- Phone
- (334) 255-7755
- Fax
- (334) 255-7368
Authorised official
- Name
- William Michael Condon
- Title
- Ubo
- Phone
- (240) 401-3643
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1174774863
- Entity type
- Organization
- NPI issued
- 1 Oct 2008
- Record last updated
- 30 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.