NPI 1326376328

Tal D Wick, EMTB

Practitioner Other Specialist/Technologist Fort Rucker, AL

Practice location

Address: Lyster Army Health Clinic Bldg 301, Andrews Ave, Fort Rucker, AL 36362-5333
Phone: (334) 255-7754

Registered specialties (2)

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Alabama →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1719026 (AL)

Other Emergency Medical Technician, Basic providers in Alabama →

Registry record

NPI: 1326376328
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2009
Record last updated: 3 Dec 2009

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.