NPI 1124396619

Eric Marshall Johnson, PTTECH

Practitioner Basic Emergency Medical Technician Fort Rucker, AL

Practice location

Address: Lyster Army Health Clinic Bldg 301, Fort Rucker, AL 36362-5333
Phone: (334) 255-7169
Fax: (334) 255-7368

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1948957 (TX)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1124396619
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2011
Record last updated: 12 Dec 2011

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.