NPI 1194151233

Joey Rivera, NREMTB

Practitioner Basic Emergency Medical Technician Fort Rucker, GA

Practice location

Address: Lyster Army Health Clinic Building 301 Andrews Avenue, Fort Rucker, GA 36362-5333
Phone: (334) 255-7636
Fax: (334) 255-7368

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E1863404 (TX)

Other Emergency Medical Technician, Basic providers in Georgia →

Registry record

NPI: 1194151233
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2013
Record last updated: 20 Sep 2013

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.