NPI 1053831156

Matthew Lester Davenport, NREMT

Practitioner Basic Emergency Medical Technician Fort Rucker, AL

Practice location

Address: Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
Phone: (335) 255-6919

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E1714562 (TX)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1053831156
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2017
Record last updated: 21 Jul 2022

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.