NPI 1134409956

Bryan Glen Prince

Practitioner Basic Emergency Medical Technician Ft. Rucker, AL

Practice location

Address: Bldg 301 Andrews Ave Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333
Phone: (334) 255-7000

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1901448 (TX)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1134409956
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2011
Record last updated: 24 Aug 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.