NPI 1356579098

Derrick Monroe White, EMTP

Practitioner Paramedic Ft Rucker, AL

Practice location

Address: Lyster Army Health Clinic Bldg 301 Andrews Ave, Ft Rucker, AL 36362-5333
Phone: (334) 255-7032

Registered specialties (2)

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence P8009774 (AL)

Other Emergency Medical Technician, Paramedic providers in Alabama →

Paramedic

Emergency Medical Service Providers Taxonomy 146L00000X Licence 0800998 (AL)

Registry record

NPI: 1356579098
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2009
Record last updated: 1 Jul 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.