NPI 1164904223

James Andrew Maccubbin, NREMTB

Practitioner Basic Emergency Medical Technician Fort Rucker, AL

Practice location

Address: Lyster Army Health Clinic Building 301 Andrews Ave., Fort Rucker, AL 36362-5333
Phone: (334) 255-8914

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E3370106 (TX)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1164904223
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2018
Record last updated: 5 Sep 2018

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.